Organization Active NPI

Life Balance Clinic

  • Chiropractor
  • St George, UT
National Provider Identifier
1568701456
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8050452-1202 Issued in UT
Legal business name
LIFE BALANCE CLINIC
Practice address
640 E 700 S
Ste 203
St George, UT 84770-4023
Phone
(435) 688-1890
Fax
(435) 688-1896
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. James H Andersen, DC
Title
Owner
Phone
(435) 688-1890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8050452-1202 UT Primary

Addresses

Primary practice location

640 E 700 S
Ste 203
St George, UT 84770-4023

Mailing address

640 E 700 S
Ste 203
St George, UT 84770-4023
Phone (435) 688-1890

National Provider Directory

National Provider Directory

Locations

640 E 700 S
Ste 203
St George, UT 84770
Phone (435) 574-9777

446 S Mall Dr
Ste B5
St George, UT 84790
Phone (435) 215-6098

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1568701456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "STE 203",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-688-1890",
            "fax_number": "435-688-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "STE 203",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-688-1890",
            "fax_number": "435-688-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8050452-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.