Organization Active NPI

Life Balance Chiropractic & Wellness, LLC

  • Chiropractor
  • Richfield, MN
National Provider Identifier
1518377605
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5815 Issued in MN
Legal business name
LIFE BALANCE CHIROPRACTIC & WELLNESS, LLC
Practice address
1300 E 66TH St
Richfield, MN 55423-2684
Phone
(612) 868-8617
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Kim Christin Tran, D.C.
Title
Chiropractor/Owner
Phone
(612) 868-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5815 MN Primary

Addresses

Primary practice location

1300 E 66TH St
Richfield, MN 55423-2684

Mailing address

1300 E 66TH St
Richfield, MN 55423-2684
Phone (612) 868-8617

National Provider Directory

National Provider Directory

Locations

1300 E 66th St
Ste 100
Richfield, MN 55423
Phone (612) 354-3165

1300 E 66th St
Richfield, MN 55423
Phone (612) 866-7800

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1518377605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232684",
            "telephone_number": "612-868-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232684",
            "telephone_number": "612-868-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "CHRISTIN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-868-8617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.