NPIMap

Organization Active NPI

Balance & Motion Wellness Clinic, L.L.C.

  • Chiropractor
  • Blue Grass, IA
National Provider Identifier
1568699155
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06947 Issued in IA
Legal business name
BALANCE & MOTION WELLNESS CLINIC, L.L.C.
Practice address
121 S Mississippi St
Suite 1
Blue Grass, IA 52726-9306
Phone
(563) 505-1127
Fax
(563) 484-5304
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Cynthia L Howard, B.S., D.C.NPI 1649319831
Title
Chiropractor
Phone
(563) 505-1127

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 06947 IA Primary

Addresses

Primary practice location

121 S Mississippi St
Suite 1
Blue Grass, IA 52726-9306

Mailing address

121 S Mississippi St
Suite 1
Blue Grass, IA 52726-9306
Phone (563) 505-1127

Other identifiers 1

IdentifierTypeStateIssuer
0746818MedicaidIA

Other names 1

  • Dr. Cynthia Howard, D.C. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091110000459 IA Part B Supplier - Clinic/Group Practice 0749328821 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Grass, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1568699155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MISSISSIPPI ST",
            "address_2": "SUITE 1",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269306",
            "telephone_number": "563-505-1127",
            "fax_number": "563-484-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MISSISSIPPI ST",
            "address_2": "SUITE 1",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269306",
            "telephone_number": "563-505-1127",
            "fax_number": "563-484-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE & MOTION WELLNESS CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-505-1127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0746818",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Cynthia Howard, D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blue Grass, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.