Back in Balance Redmond, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60002301 Issued in WA

Legal business name

BACK IN BALANCE REDMOND, INC.

Practice address

2761 152ND Ave NE
Redmond, WA 98052-5555

Phone

(425) 437-9974

Fax

(425) 437-9964

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Justin Charles Schallmann, D.C.NPI 1114199676

Title

Ceo

Phone

(425) 437-9974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Charles Schallmann, D.C.

  • Chiropractor
  • Redmond, WA
  • NPI 1114199676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1144524950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525555",
            "telephone_number": "425-437-9974",
            "fax_number": "425-437-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525555",
            "telephone_number": "425-437-9974",
            "fax_number": "425-437-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE REDMOND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHALLMANN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-437-9974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60002301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Azar, LMHCA
• Brooke Azie-Rentz, N.D.
• Holly Amanda Baber, MOT, OTR/L
• Babybear Beauty LLC
• Lura Bacalzo
• Guy Douglas Backstrom, D.C.
• Mahyar Badrei, D.O.
• Baian Sarah Baianonie
• Safura Baig, DMD
• Desiray C. Bailey, M.D.

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.