In Balance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3510-012 Issued in WI

Legal business name

IN BALANCE CHIROPRACTIC LLC

Practice address

721 Century Ave
Antigo, WI 54409-2473

Phone

(715) 623-5300

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Earl Roth, D.C.NPI 1205999646

Title

Member

Phone

(715) 623-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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.

• Earl J Roth, DC

  • Chiropractor
  • Antigo, WI
  • NPI 1205999646
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1710306550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CENTURY AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092473",
            "telephone_number": "715-623-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CENTURY AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092473",
            "telephone_number": "715-623-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-623-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3510-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Services Board Serving North Central Health Care (North Central Health Care)
• Human Services Board Serving North Central Health Care Facility (North Central Health Care)
• Human Services Board Serving North Central Health Care Facility (North Central Health Care CLTS)
• Human Services Board Serving North Central Heatlh Care (North Central Health Care)
• Darci Lynn Ann Huntington, RDH
• Inspire ABA LLC
• Integrated Pain Solutions LLC (Integrated Pain Solutions)
• Integrated Pain Solutions LLC (Draeger Chiropractic & Laser Center)
• Darlaen Kay Jansen, RN
• Jaworski Chiropractic LLC (Goldsworthy Chiropractic)

• Chiropractor in Antigo, WI
• Providers in Antigo, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.