Organization Active NPI

Balance Chiropractic P.C.

  • Orthopedic Chiropractor
  • Bend, OR
National Provider Identifier
1154445070
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
272896 Issued in OR
Legal business name
BALANCE CHIROPRACTIC P.C.
Practice address
477 NE Revere Ave
Bend, OR 97701-4018
Phone
(541) 383-5156
Fax
(541) 322-5591
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
James W Neilson, D.C.NPI 1720201601
Title
President
Phone
(541) 383-5156

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 272896 OR Primary

Addresses

Primary practice location

477 NE Revere Ave
Bend, OR 97701-4018

Mailing address

477 NE Revere Ave
Bend, OR 97701-4018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1154445070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014018",
            "telephone_number": "541-383-5156",
            "fax_number": "541-322-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "NEILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-383-5156",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "272896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.