Active NPI
Body in Balance Healthcare
- Rehabilitation Chiropractor
- Jackson, MS
National Provider Identifier
1780955740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1177
- Legal business name
- BODY IN BALANCE HEALTHCARE
- Practice address
- 5472 Watkins Dr
Suite C
Jackson, MS 39206-2000 - Phone
- (601) 622-2998
- NPI assigned
- Jan 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura L Stubbs, D.C.
- Title
- Owner
- Phone
- (601) 622-2998
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1177 | MS | Primary |
Addresses
Primary practice location
5472 Watkins Dr
Suite C
Jackson, MS 39206-2000
Mailing address
5472 Watkins Dr
Suite C
Jackson, MS 39206-2000
National Provider Directory
National Provider DirectoryLocations
5472 Watkins Dr
Ste C
Jackson, MS 39206
Phone (601) 622-2998
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": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1780955740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5472 WATKINS DR",
"address_2": "SUITE C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392062000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5472 WATKINS DR",
"address_2": "SUITE C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392062000",
"telephone_number": "601-622-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY IN BALANCE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "STUBBS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-622-2998",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MS",
"license": "1177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.