Inner Balance Family Chiropractic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5764 Issued in MN

Legal business name

INNER BALANCE FAMILY CHIROPRACTIC PLC

Practice address

4444 W 76TH St
Suite 300
Edina, MN 55435-5173

Phone

(612) 481-4457

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Klick, D.C.

Title

Owner/Chiropractor

Phone

(612) 481-4457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1144641978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8654 POPLAR BRIDGE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371441",
            "telephone_number": "612-481-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W 76TH ST",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355173",
            "telephone_number": "612-481-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE FAMILY CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "KLICK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "612-481-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.