Organization Active NPI

True Balance Chiropractic, LLC

  • Chiropractor
  • Scappoose, OR
National Provider Identifier
1134565153
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4092 Issued in OR
Legal business name
TRUE BALANCE CHIROPRACTIC, LLC
Practice address
51669 Columbia River Hwy
Suite 130
Scappoose, OR 97056-4508
Phone
(503) 987-1696
Fax
(503) 208-7202
NPI assigned
May 16, 2013
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Teah Lynn Brown, DC, LMTNPI 1114151164
Title
Chiropractor
Phone
(503) 987-1696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4092 OR Primary

Addresses

Primary practice location

51669 Columbia River Hwy
Suite 130
Scappoose, OR 97056-4508

Mailing address

51669 Columbia River Hwy
Suite 130
Scappoose, OR 97056-4508
Phone (503) 987-1696

Other identifiers 1

IdentifierTypeStateIssuer
R161045OtherORMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630000356 OR Part B Supplier - Clinic/Group Practice 2365754694 Receives reassigned benefits from 1 practitioner
Practice locations: Scappoose, OR

National Provider Directory

National Provider Directory

Locations

51669 Columbia River Hwy
Ste 130
Scappoose, OR 97056
Phone (503) 543-8605

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1134565153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51669 COLUMBIA RIVER HWY",
            "address_2": "SUITE 130",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564508",
            "telephone_number": "503-987-1696",
            "fax_number": "503-208-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51669 COLUMBIA RIVER HWY",
            "address_2": "SUITE 130",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564508",
            "telephone_number": "503-987-1696",
            "fax_number": "503-208-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE BALANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TEAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "503-987-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R161045",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.