Individual provider Active NPI

Christopher Allen Balduf, LMT

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1730929977
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18722 Issued in NC
Practice address
5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056
Phone
(910) 487-1300
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18722 NC Primary

Addresses

Primary practice location

5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056

Mailing address

5511 Raeford Rd Ste 100
Fayetteville, NC 28304-2056
Phone (910) 487-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18722NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Care CurrentSince Jun 2, 2024 Accepting new patients

Locations

5511 Raeford Rd
Ste 100
Fayetteville, NC 28304
Phone (910) 487-1300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1730929977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042056",
            "telephone_number": "910-487-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042056",
            "telephone_number": "910-487-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDUF",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "18722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.