Organization Active NPI

Washoe Accident and Injury Center, Inc

Doing business as Balanced Health Solutions

  • Health Service Clinic/Center
  • Sparks, NV
National Provider Identifier
1346509064
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
B00385 Issued in NV
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

Updated by the provider on May 15, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.