Organization Active NPI

Body in Balance Chiropractic & Wellness, PC

Doing business as Body in Balance Chiropractic & Wellness

  • Chiropractor
  • Watertown, SD
National Provider Identifier
1629659420
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODY IN BALANCE CHIROPRACTIC & WELLNESS, PC
Doing business as
Body in Balance Chiropractic & Wellness
Practice address
1002 14TH St SE
Watertown, SD 57201-5328
Phone
(605) 878-2639
Fax
(605) 878-2640
NPI assigned
Apr 14, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Allison A Dargatz, DCNPI 1508478934
Title
Owner
Phone
(605) 878-2639

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1002 14TH St SE
Watertown, SD 57201-5328

Mailing address

1002 14TH St SE
Watertown, SD 57201-5328
Phone (605) 878-2639

Other names 1

  • Body in Balance Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629001693 SD Part B Supplier - Clinic/Group Practice 2668873597 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, SD

National Provider Directory

National Provider Directory

Locations

1002 14th St SE
Watertown, SD 57201
Phone (605) 878-2639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1629659420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 14TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015328",
            "telephone_number": "605-878-2639",
            "fax_number": "605-878-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 14TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015328",
            "telephone_number": "605-878-2639",
            "fax_number": "605-878-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE CHIROPRACTIC & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "DARGATZ",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-878-2639",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body in Balance Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Body in Balance Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.