Basic Balance Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5321 Issued in MN

Legal business name

BASIC BALANCE CHIROPRACTIC

Practice address

3440 Federal Dr
120
Eagan, MN 55122-3501

Phone

(612) 787-2055

NPI assigned

Dec 18, 2012

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amber Lea Miller, D.C.NPI 1598075376

Title

President

Phone

(612) 787-2055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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.

• Amber Lea Miller, D.C.

  • Chiropractor
  • Eagan, MN
  • NPI 1598075376
  Medicare reassignment NPD Authorized official
• Nicole Kristin Lantz, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1952410045
  NPD

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1639415771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223516",
            "telephone_number": "612-787-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR",
            "address_2": "120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223501",
            "telephone_number": "612-787-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC BALANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-787-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Barrera, LICSW
• Renee Barrett, MS, CCC-SLP
• Deborah J Barth, NNP
• Maria Barton, PT
• Fausia Bashir
• Talitha Bates, NP
• Douglas Martin Bauer, DDS
• Briana Bauleke, MS, LMFT
• Monica A Bayer, RNC, OGNP
• John A Beall Jr., MD

• Chiropractor in Eagan, MN
• Providers in Eagan, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.