Organization Active NPI

Inner Balance Chiropractic, P.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1780864108
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6118 Issued in CO
Legal business name
INNER BALANCE CHIROPRACTIC, P.C.
Practice address
117 E Drake Rd
Suite 3
Fort Collins, CO 80525-1787
Phone
(719) 351-6099
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Tate Griffin Gentile, D.C.NPI 1366631202
Title
Chiropractor
Phone
(719) 351-6099

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 6118 CO Primary

Addresses

Primary practice location

117 E Drake Rd
Suite 3
Fort Collins, CO 80525-1787

Mailing address

1410 Winding Ridge Ter
Colorado Springs, CO 80919-1040

National Provider Directory

National Provider Directory

Locations

117 E Drake Rd
Ste 3
Fort Collins, CO 80525
Phone (719) 351-6099

114 E Oak St
Fort Collins, CO 80524
Phone (970) 226-5545

Practitioners & affiliated clinicians

Practitioners 3

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1780864108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 WINDING RIDGE TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E DRAKE RD",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251787",
            "telephone_number": "719-351-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "TATE",
        "authorized_official_middle_name": "GRIFFIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "719-351-6099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.