NPIMap

Organization Active NPI

Back in Balance Chiropractic,LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1235354622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4931 Issued in AZ
Legal business name
BACK IN BALANCE CHIROPRACTIC,LLC
Practice address
9903 E Baseline Rd
Mesa, AZ 85212
Phone
(480) 984-7444
Fax
(480) 984-8222
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon David Haymond, D.C.NPI 1467568246
Title
Owner
Phone
(480) 984-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4931 AZ Primary

Addresses

Primary practice location

9903 E Baseline Rd
Mesa, AZ 85212

Mailing address

8968 E Canyon Creek Dr
Gold Canyon, AZ 85218-3008
Phone (480) 984-7444

National Provider Directory

National Provider Directory

Locations

9903 E Baseline Rd
Mesa, AZ 85209
Phone (480) 984-7444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235354622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8968 E CANYON CREEK DR",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852183008",
            "telephone_number": "480-984-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-984-7444",
            "fax_number": "480-984-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYMOND",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-984-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.