Back to Balance Chiropractic and Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8622553-1202 Issued in UT

Legal business name

BACK TO BALANCE CHIROPRACTIC AND WELLNESS PLLC

Practice address

2739 S 5600 W Ste 170
West Valley, UT 84120-4633

Phone

(801) 966-5106

Fax

(855) 421-3750

NPI assigned

May 1, 2013

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Drew Roberts, DCNPI 1043655384

Title

Owner

Phone

(801) 706-5816

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Drew Roberts, D.C.

  • Chiropractor
  • West Valley, UT
  • NPI 1043655384
  Authorized official Same address or phone

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1831534130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 S 5600 W STE 170",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841204633",
            "telephone_number": "801-966-5106",
            "fax_number": "855-421-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 S 5600 W STE 170",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841204633",
            "telephone_number": "801-966-5106",
            "fax_number": "855-421-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-706-5816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8622553-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Valley, UT
• Providers in West Valley, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.