Balance 4 Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BALANCE 4 LIFE CHIROPRACTIC

Practice address

5204 Paylor LN
Lakewood Ranch, FL 34240-2204

Phone

(941) 355-0299

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By 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

Dr. Kenneth D'Souza, D.C., M.S.A.C.N.NPI 1083921092

Title

Owner

Phone

(941) 355-0299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, and the practitioner matching its NPPES authorized official.

• Kenneth Karlus D'Souza, D.C.

  • Chiropractor
  • Midlothian, VA
  • NPI 1083921092

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1245017524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 PAYLOR LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402204",
            "telephone_number": "941-355-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 PAYLOR LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402204",
            "telephone_number": "941-355-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE 4 LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "D'SOUZA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-355-0299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S.A.C.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aw Surgery PA (Anna Widmyer)
• Hannah Bagarozza
• Ramzi Michael Bahu, M.D.
• Cammie L Baird, ARNP
• Barbara L Bakus, DO
• Audra Ballash, PA
• Jessica Balos
• Karla R Banks, BS,PHARMD
• Michael Banman, DC
• Christina Marie Barbera

• Chiropractor in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.