Active NPI
Balance 4 Life Chiropractic
- Chiropractor
- Midlothian, VA
National Provider Identifier
1447551916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.