Organization Active NPI

Balanced Body Chiropractic MN PA

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1487086153
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5834 Issued in MN
Legal business name
BALANCED BODY CHIROPRACTIC MN PA
Practice address
5152 Balmoral LN
Bloomington, MN 55437-2800
Phone
(952) 807-5397
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Jennifer Skelton, D.C.
Title
Owner
Phone
(952) 807-5397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5834 MN Primary

Addresses

Primary practice location

5152 Balmoral LN
Bloomington, MN 55437-2800

Mailing address

5152 Balmoral LN
Bloomington, MN 55437-2800
Phone (952) 807-5397

National Provider Directory

National Provider Directory

Locations

200 W 98th St
Ste 107
Minneapolis, MN 55420
Phone (612) 968-6097

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1487086153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 BALMORAL LN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372800",
            "telephone_number": "952-807-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 BALMORAL LN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372800",
            "telephone_number": "952-807-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CHIROPRACTIC MN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-807-5397",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.