NPIMap

Organization Active NPI

Balance Hormone Center

  • Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1124495403
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BALANCE HORMONE CENTER
Practice address
2730 S Val Vista Dr BLDG 5
Suite 127
Gilbert, AZ 85295-1675
Phone
(480) 718-9960
NPI assigned
Aug 21, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Nikki Busellato
Title
Credentialing
Phone
(480) 718-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2730 S Val Vista Dr BLDG 5
Suite 127
Gilbert, AZ 85295-1675

Mailing address

2730 S Val Vista Dr BLDG 5
Suite 127
Gilbert, AZ 85295-1675
Phone (480) 718-9960

National Provider Directory

National Provider Directory

Locations

2730 S Val Vista Dr
Bldg 5
Gilbert, AZ 85295

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1124495403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR BLDG 5",
            "address_2": "SUITE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "480-718-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR BLDG 5",
            "address_2": "SUITE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "480-718-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE HORMONE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "BUSELLATO",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "480-718-9960"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.