Ballard Enterprise, L.L.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6020 Issued in AZ

Legal business name

BALLARD ENTERPRISE, L.L.C

Practice address

1083 S Main St
Snowflake, AZ 85937-5582

Phone

(928) 536-3550

Fax

(928) 536-3550

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melvin Kerry Ballard, D.C.NPI 1548294200

Title

Owner

Phone

(928) 536-3550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Melvin Kerry Ballard, D.C.

  • Chiropractor
  • Snowflake, AZ
  • NPI 1548294200
  Medicare reassignment NPD Authorized official
• Wesley Michael Bowman, D.C.

  • Chiropractor
  • Snowflake, AZ
  • NPI 1659603645
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1164611141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375582",
            "telephone_number": "928-536-3550",
            "fax_number": "928-536-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375582",
            "telephone_number": "928-536-3550",
            "fax_number": "928-536-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD ENTERPRISE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-536-3550",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lynn Anderson
• Aviva Home Health LLC
• Az Mobile Imaging LLC
• Az Neuropathy and Wound Solutions (TRUE Neuropathy and Wound Solutions AZ)
• Dustin Kyle Baldwin
• Ballard Senior Home Care
• Melvin Kerry Ballard, D.C.
• Monica Ballard, LMSW
• Stephanie Batty
• Debra Ann Bennett, SLP0520

• Chiropractor in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.