Balanced Health of Payson Inc

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

8404817-1202 Issued in UT

Legal business name

BALANCED HEALTH OF PAYSON INC

Practice address

2 N Main St
Payson, UT 84651

Phone

(702) 417-8522

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Thor Mongie, D.CNPI 1104988989

Title

Owner of Entity

Phone

(702) 417-8522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• Thor Patrick Mongie, D.C.

  • Radiology Chiropractor
  • Payson, UT
  • NPI 1104988989
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1477051878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512239",
            "telephone_number": "702-417-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651",
            "telephone_number": "702-417-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH OF PAYSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "MONGIE",
        "authorized_official_first_name": "THOR",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "702-417-8522",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "UT",
            "license": "8404817-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Engle Badertscher, D.O.
• Mark N Bair, M.D.
• Robert Mark Baird, D.M.D
• George M Baker, PA-C
• Matthew T Baker, MD
• Brooklyn Anne Baldwin
• Emilee Ann Barker
• Amberlee Barlow
• Elizabeth Barnes, OTR/L
• Basic Health Chiropractic LLC.

• Radiology Chiropractor in Payson, UT
• Providers in Payson, UT by specialty
• Radiology Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.