Living Well Balanced, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4479 Issued in NC

Legal business name

LIVING WELL BALANCED, P.C.

Practice address

4600 Lake Boone TRL Ste 210
Raleigh, NC 27607-7529

Phone

(919) 926-8890

Fax

(919) 590-1825

NPI assigned

Nov 19, 2017

Last updated

Nov 19, 2017By 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. Ankur Prakash, DCNPI 1053434860

Title

Owner

Phone

(919) 926-8890

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ankur Prakash, D.C.

  • Chiropractor
  • Raleigh, NC
  • NPI 1053434860
  Authorized official Same address or phone

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1649784216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077529",
            "telephone_number": "919-926-8890",
            "fax_number": "919-590-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077529",
            "telephone_number": "919-926-8890",
            "fax_number": "919-590-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL BALANCED, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-926-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "4479",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Livewell Therapy, PLLC
• Living & Learning Together, LLC
• Living Forward PLLC
• Living Soul of North Carolina ABA
• Living Waters Counseling and Wellness Center PLLC
• Living Well Counseling Service
• Living Well Enterprises, LLC (Living Well Family Care Home)
• Living Well International Center, PC
• Living With Autism Inc
• Living With Autisum

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.