Active NPI
Washoe Accident and Injury Center, Inc
Doing business as Balanced Health Solutions
- Health Service Clinic/Center
- Sparks, NV
National Provider Identifier
1346509064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- B00385
- Legal business name
- WASHOE ACCIDENT AND INJURY CENTER, INC
- Doing business as
- Balanced Health Solutions
- Practice address
- 1625 E Prater Way
Suite 103
Sparks, NV 89434-8969 - Phone
- (775) 358-6824
- Fax
- (775) 358-6843
- NPI assigned
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale Ray Kelly, DC
- Title
- President
- Phone
- (775) 358-6824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | B00385 | NV | Primary |
Addresses
Primary practice location
1625 E Prater Way
Suite 103
Sparks, NV 89434-8969
Mailing address
1625 E Prater Way
Suite 103
Sparks, NV 89434-8969
Phone (775) 358-6824
Other names 1
- Balanced Health Solutions
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1346509064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 E PRATER WAY",
"address_2": "SUITE 103",
"city": "SPARKS",
"state": "NV",
"postal_code": "894348969",
"telephone_number": "775-358-6824",
"fax_number": "775-358-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E PRATER WAY",
"address_2": "SUITE 103",
"city": "SPARKS",
"state": "NV",
"postal_code": "894348969",
"telephone_number": "775-358-6824",
"fax_number": "775-358-6843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHOE ACCIDENT AND INJURY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-358-6824",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NV",
"license": "B00385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Health Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.