Organization Active NPI

Essential Balance, LLC

  • Massage Therapist
  • Newark, DE
National Provider Identifier
1659746972
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2017600206 Issued in DE
Legal business name
ESSENTIAL BALANCE, LLC
Practice address
1450 Capitol Trail
Suite 104
Newark, DE 19711
Phone
(302) 861-6353
Fax
(302) 525-6591
NPI assigned
Dec 11, 2015
Organization subpart
Yes
Parent organization
ESSENTIAL BALANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Ms. Dawn E Uncapher, LMT, MMP, CIMINPI 1588068654
Title
C.E.O.
Phone
(302) 545-1926

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 2017600206 DE Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT-0003855 DE

Addresses

Primary practice location

1450 Capitol Trail
Suite 104
Newark, DE 19711

Mailing address

1450 Capitol Trail Shops at Red Mill
Suite 104
Newark, DE 19711
Phone (302) 861-6353

National Provider Directory

National Provider Directory
Part of
Essential Balance LLC

Locations

1450 Capitol Trl
Ste 104
Newark, DE 19711
Phone (254) 290-2293

Practitioners & affiliated clinicians

Practitioners 1

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1659746972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CAPITOL TRAIL SHOPS AT RED MILL",
            "address_2": "SUITE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-861-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CAPITOL TRAIL",
            "address_2": "SUITE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-861-6353",
            "fax_number": "302-525-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BALANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIAL BALANCE",
        "enumeration_date": "2015-12-11",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "UNCAPHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "302-545-1926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, MMP, CIMI"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "2017600206",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "MT-0003855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.