Organization Active NPI

Rebalance Wellness Centers, LLC

  • General Practice Physician
  • Carrollton, TX
National Provider Identifier
1396284600
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REBALANCE WELLNESS CENTERS, LLC
Practice address
3012 E Hebron Pkwy Ste 116
Carrollton, TX 75010-4461
Phone
(214) 200-4277
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Jorge Chavarria
Title
President
Phone
(469) 583-5807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3012 E Hebron Pkwy Ste 116
Carrollton, TX 75010-4461

Mailing address

3012 E Hebron Pkwy Ste 116
Carrollton, TX 75010-4461

National Provider Directory

National Provider Directory
Tax ID family
Rebalance Wellness Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1396284600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 116",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 116",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "214-200-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-583-5807"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.