Body Balance Indy, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001498A Issued in IN

Legal business name

BODY BALANCE INDY, LLC

Practice address

4760 E 62ND St
Indianapolis, IN 46220-5234

Phone

(317) 255-4222

Fax

(317) 704-4900

NPI assigned

Oct 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric B. Morris, DC

Title

Minority Owner/ Clinician

Phone

(317) 255-4222

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1114355872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20884",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462200884",
            "telephone_number": "317-255-4222",
            "fax_number": "317-704-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E 62ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205234",
            "telephone_number": "317-255-4222",
            "fax_number": "317-704-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE INDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MINORITY OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "317-255-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001498A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000222754",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Clayton Bodick
• Cynthia Leta Bodkin, MD
• Ciarra Bodnar
• Andrew William Bodrogi, MD
• Dorothy Bodur, NP
• Body Mechanics Health and Wellness
• Body One Health and Fitness Center, LLC
• John Matthew Boe, M.D.
• August Hill Boeglin, M.D.
• Robert J Boeglin Jr., M.D.

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.