Organization Active NPI

Back to Balance Chiropractic

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1730212242
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19698 Issued in CA
Legal business name
BACK TO BALANCE CHIROPRACTIC
Practice address
1158 26TH St
#149
Santa Monica, CA 90403-4621
Phone
(310) 460-7353
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Eric Badener, D.C.NPI 1316079841
Title
Director
Phone
(310) 460-7353

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC19698 CA Primary

Addresses

Primary practice location

1158 26TH St
#149
Santa Monica, CA 90403-4621

Mailing address

1158 26TH St
#149
Santa Monica, CA 90403-4621

National Provider Directory

National Provider Directory

Locations

1158 26th St
#149
Santa Monica, CA 90403
Phone (310) 460-7353

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1730212242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH ST",
            "address_2": "#149",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 26TH ST",
            "address_2": "#149",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034621",
            "telephone_number": "310-460-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BADENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-460-7353",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.