Organization Active NPI

Balance 4 Life Chiropractic

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1447551916
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556830 Issued in VA
Legal business name
BALANCE 4 LIFE CHIROPRACTIC
Practice address
2342 Colony Crossing PL
Midlothian, VA 23112-4280
Phone
(804) 744-4317
Fax
(804) 744-4316
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Kenneth K D'Souza, D.C.
Title
Owner
Phone
(804) 744-4317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556830 VA Primary

Addresses

Primary practice location

2342 Colony Crossing PL
Midlothian, VA 23112-4280

Mailing address

2342 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 744-4317

National Provider Directory

National Provider Directory

Locations

2342 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 639-1112

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1447551916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-744-4317",
            "fax_number": "804-744-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-744-4317",
            "fax_number": "804-744-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE 4 LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "D'SOUZA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-744-4317",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.