Organization Active NPI

Dr. Lacy Stice, LLC

Doing business as Healthy Balance Chiropractic

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1700447422
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. LACY STICE, LLC
Doing business as
Healthy Balance Chiropractic
Practice address
4623 S Cooper St Ste 135
Arlington, TX 76017-5831
Phone
(817) 701-4345
Fax
(817) 701-4349
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Vanessa Marie Bauer
Title
Billing Specialist
Phone
(817) 948-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4623 S Cooper St Ste 135
Arlington, TX 76017-5831

Mailing address

4621 S Cooper St
Suite 135 PMB 493
Arlington, TX 76017
Phone (817) 701-4345

Other names 1

  • Healthy Balance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4621 S Cooper St
Ste 135
Arlington, TX 76017

4623 S Cooper St
Ste 135
Arlington, TX 76017
Phone (817) 701-4345

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": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1700447422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 S COOPER ST",
            "address_2": "SUITE 135 PMB 493",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "817-701-4345",
            "fax_number": "817-701-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 S COOPER ST STE 135",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175831",
            "telephone_number": "817-701-4345",
            "fax_number": "817-701-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LACY STICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "817-948-4372"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Balance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.