Organization Active NPI

Balanced Health Chiropractic LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1700108495
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
501 Issued in AK
Legal business name
BALANCED HEALTH CHIROPRACTIC LLC
Practice address
6831 Jewel Lake Rd
Anchorage, AK 99502-2823
Phone
(907) 245-0807
Fax
(907) 245-0809
NPI assigned
Feb 22, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Shawn Douglas Lovdahl, D.C.NPI 1528394137
Title
Owner/Clinician
Phone
(907) 245-0807

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 501 AK Primary

Addresses

Primary practice location

6831 Jewel Lake Rd
Anchorage, AK 99502-2823

Mailing address

6831 Jewel Lake Rd
Anchorage, AK 99502-2823
Phone (907) 245-0807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100430000099 AK Part B Supplier - Clinic/Group Practice 7416084082 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

6831 Jewel Lake Rd
Anchorage, AK 99502
Phone (907) 223-6390

Practitioners & affiliated clinicians

Practitioners 4

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1700108495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 JEWEL LAKE RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022823",
            "telephone_number": "907-245-0807",
            "fax_number": "907-245-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 JEWEL LAKE RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022823",
            "telephone_number": "907-245-0807",
            "fax_number": "907-245-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "LOVDAHL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "907-245-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.