Organization Active NPI

Balance Chiropractic LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1427115773
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7764 Issued in AZ
Legal business name
BALANCE CHIROPRACTIC LLC
Practice address
6750 E Main St Ste 108
Mesa, AZ 85205-9049
Phone
(480) 985-0720
NPI assigned
Jan 3, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Sam Hallows, DC
Title
Owner
Phone
(480) 985-0720

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7764 AZ Primary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 4447 AZ

Addresses

Primary practice location

6750 E Main St Ste 108
Mesa, AZ 85205-9049

Mailing address

6750 E Main St Ste 108
Mesa, AZ 85205-9049
Phone (480) 985-0720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000001 AZ Part B Supplier - Clinic/Group Practice 8426050386 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

7165 E University Dr
Ste 102
Mesa, AZ 85207
Phone (480) 830-0175

6750 E Main St
Ste 108
Mesa, AZ 85205
Phone (480) 985-0720

Practitioners & affiliated clinicians

Practitioners 7

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1427115773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 E MAIN ST STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059049",
            "telephone_number": "480-985-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E MAIN ST STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059049",
            "telephone_number": "480-985-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HALLOWS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-985-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7764",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.