Organization Active NPI

Balanced Health Chiropractic Center PLC

  • Chiropractor
  • Charlotte, MI
National Provider Identifier
1447589395
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BALANCED HEALTH CHIROPRACTIC CENTER PLC
Practice address
710 W Lawrence Ave
Charlotte, MI 48813-1360
Phone
(517) 543-6360
Fax
(517) 543-7773
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Heidi Hansen, DCNPI 1992771984
Title
Owner/President
Phone
(517) 543-6360

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 Primary

Addresses

Primary practice location

710 W Lawrence Ave
Charlotte, MI 48813-1360

Mailing address

710 W Lawrence Ave
Charlotte, MI 48813-1360
Phone (517) 543-6360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000753 MI Part B Supplier - Clinic/Group Practice 4880886464 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, MI

National Provider Directory

National Provider Directory

Locations

710 W Lawrence Ave
Charlotte, MI 48813
Phone (517) 543-1150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1447589395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131360",
            "telephone_number": "517-543-6360",
            "fax_number": "517-543-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131360",
            "telephone_number": "517-543-6360",
            "fax_number": "517-543-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "517-543-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.