Organization Active NPI

Body Balance Chiropractic & Rehab

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1740585132
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODY BALANCE CHIROPRACTIC & REHAB
Practice address
4310 Bishop LN Ste a
Louisville, KY 40218-4560
Phone
(502) 458-2101
Fax
(502) 458-2102
NPI assigned
Jan 17, 2011
Last updated
Jan 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Michael Clover
Title
Owner
Phone
(502) 458-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4310 Bishop LN Ste a
Louisville, KY 40218-4560

Mailing address

4310 Bishop LN Ste a
Louisville, KY 40218-4560
Phone (502) 458-2101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1740585132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BISHOP LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184560",
            "telephone_number": "502-458-2101",
            "fax_number": "502-458-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 BISHOP LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184560",
            "telephone_number": "502-458-2101",
            "fax_number": "502-458-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-458-2101"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.