NPIMap

Organization Active NPI

Ideal Balance, Inc.

  • Acupuncturist
  • Temple Terrace, FL
National Provider Identifier
1730451493
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3036 Issued in FL
Legal business name
IDEAL BALANCE, INC.
Practice address
10927 N 56TH St
Temple Terrace, FL 33617-3000
Phone
(813) 766-1319
Fax
(888) 440-0629
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Brian Scott Lau, AP DOM LMTNPI 1194973834
Title
Director
Phone
(813) 766-1319

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 3036 FL Primary

Addresses

Primary practice location

10927 N 56TH St
Temple Terrace, FL 33617-3000

Mailing address

9613 N 55TH St
Temple Terrace, FL 33617-4723
Phone (813) 766-1319

National Provider Directory

National Provider Directory

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": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1730451493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 N 55TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336174723",
            "telephone_number": "813-766-1319",
            "fax_number": "888-440-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173000",
            "telephone_number": "813-766-1319",
            "fax_number": "888-440-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL BALANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-766-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP DOM LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.