Balanced Wellness Chiropractic Physicians, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3927 Issued in OK

Legal business name

BALANCED WELLNESS CHIROPRACTIC PHYSICIANS, PLLC

Practice address

6516 N Olie Ave
Suite D
Oklahoma City, OK 73116-7226

Phone

(405) 509-7017

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Eugene Schmidt, D.C.NPI 1780812131

Title

Member Manager

Phone

(405) 509-7017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Eugene Schmidt, D.C.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1780812131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1700014149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3033",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833033",
            "telephone_number": "405-509-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE",
            "address_2": "SUITE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167226",
            "telephone_number": "405-509-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED WELLNESS CHIROPRACTIC PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "405-509-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Baladez Sr.
• Logesvar Balaguru
• Harini Balakrishnan
• Balanced Body-Orthopedic Physical Therapy & Fitness Training, LLC
• Balanced Nutrition Counseling
• Kishore Balasubramanian, MD
• Diaraye Balde
• Topher Wayne Balderas-Young, BS, BHCMII
• Adrian Balderas
• Maria Guadalupe Balderas

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.