Organization Active NPI

Balanced Chiropractic and Wellness LLC

  • Chiropractor
  • Kingsport, TN
National Provider Identifier
1316830987
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BALANCED CHIROPRACTIC AND WELLNESS LLC
Practice address
247 Broad St Ste 104
Kingsport, TN 37660-4246
Phone
(423) 612-0375
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. Michael Haun, DCNPI 1124634126
Title
Owner/Chiropractor
Phone
(423) 612-0375

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

247 Broad St Ste 104
Kingsport, TN 37660-4246

Mailing address

247 Broad St Ste 104
Kingsport, TN 37660-4246
Phone (423) 612-0375

Other practice location 1

290 Union St
Erwin, TN 37650-1180
Phone (423) 612-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819005050 TN Part B Supplier - Clinic/Group Practice 4880193432 Receives reassigned benefits from 1 practitioner
Practice locations: Erwin, TN; Kingsport, TN

National Provider Directory

National Provider Directory

Locations

290 Union St
Erwin, TN 37650
Phone (423) 612-0375

247 Broad St
Ste 104
Kingsport, TN 37660
Phone (423) 612-0375

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1316830987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 104",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604246",
            "telephone_number": "423-612-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 104",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604246",
            "telephone_number": "423-612-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Union St",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376501180",
            "country_code": "US",
            "telephone_number": "423-612-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "HAUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "423-612-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.