Balanced Body Chiropractic & Massage, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BALANCED BODY CHIROPRACTIC & MASSAGE, LLC

Practice address

3322 Francis St
Jackson, MI 49203-5051

Phone

(517) 782-9569

Fax

(517) 796-3879

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Annette Marie Bennett, DCNPI 1083245617

Title

Owner

Phone

(517) 782-9569

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Annette Marie Bennett, DC

  • Chiropractor
  • Jackson, MI
  • NPI 1083245617
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1366074304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 FRANCIS ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035051",
            "telephone_number": "517-782-9569",
            "fax_number": "517-796-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 FRANCIS ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035051",
            "telephone_number": "517-782-9569",
            "fax_number": "517-796-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CHIROPRACTIC & MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-782-9569",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083245617",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SoapVault",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 Francis St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492035051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SoapVault",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 Francis St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492035051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SoapVault",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 Francis St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492035051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SoapVault",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 Francis St",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492035051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillian Baker
• Marcy L Baker, M.A. CCC-SLP
• Nichole Baker
• Stacy Baker, LPN
• Travis Baker
• Balanced Life Counseling LLC
• Andrew James Balaze, D.M.D.
• Willy C Baldwin, LLC
• Mark Frederick Balino, D.O.
• Muna Balkash, M.D.

• All providers in Jackson, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.