Organization Active NPI

Balanced Rock Chiropractic Inc

  • Chiropractor
  • Colorado SPGS, CO
National Provider Identifier
1407024599
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BALANCED ROCK CHIROPRACTIC INC
Practice address
5525 N Union Blvd
Suite 101
Colorado SPGS, CO 80918-1969
Phone
(719) 260-5525
NPI assigned
Feb 12, 2008
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Lynn S Cash, DCNPI 1023176419
Title
President
Phone
(719) 260-5525

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 CO Primary

Addresses

Primary practice location

5525 N Union Blvd
Suite 101
Colorado SPGS, CO 80918-1969

Mailing address

5525 N Union Blvd
Suite 101
Colorado SPGS, CO 80918-1969
Phone (719) 260-5525

Other names 1

  • Larson Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304001179 CO Part B Supplier - Clinic/Group Practice 7911895776 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

5525 N Union Blvd
Ste 100
Colorado Springs, CO 80918
Phone (719) 260-5525

5525 N Union Blvd
Ste 101
Colorado Springs, CO 80918
Phone (719) 260-5525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1407024599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 N UNION BLVD",
            "address_2": "SUITE 101",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809181969",
            "telephone_number": "719-260-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 N UNION BLVD",
            "address_2": "SUITE 101",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809181969",
            "telephone_number": "719-260-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED ROCK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-260-5525",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larson Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.