Organization Active NPI

Truly Balanced, L.L.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1417384389
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007589 Issued in IA
Legal business name
TRULY BALANCED, L.L.C.
Practice address
3350 Center Grove Dr
Suite 1
Dubuque, IA 52003-5200
Phone
(563) 451-3270
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Katherine Denise Funke, D.C.
Title
Authorized Official
Phone
(563) 451-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007589 IA Primary

Addresses

Primary practice location

3350 Center Grove Dr
Suite 1
Dubuque, IA 52003-5200

Mailing address

3350 Center Grove Dr
Suite 1
Dubuque, IA 52003-5200

National Provider Directory

National Provider Directory

Locations

3350 Center Grove Dr
Dubuque, IA 52003
Phone (563) 258-3229

3350 Center Grove Dr
Ste 1
Dubuque, IA 52003
Phone (563) 451-3270

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1417384389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 CENTER GROVE DR",
            "address_2": "SUITE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 CENTER GROVE DR",
            "address_2": "SUITE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035200",
            "telephone_number": "563-451-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULY BALANCED, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "FUNKE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "563-451-3270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.