Active NPI
Body and Balance Chiropractic
- Chiropractor
- Boulder, CO
National Provider Identifier
1831546415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007385
- Legal business name
- BODY AND BALANCE CHIROPRACTIC
- Practice address
- 1800 30TH St Ste 206
Boulder, CO 80301-1026 - Phone
- (720) 724-0998
- NPI assigned
- May 24, 2016
- 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
- Elyssa Marie Wright, D.C.
- Title
- Owner
- Phone
- (814) 572-6143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0007385 | CO | Primary |
Addresses
Primary practice location
1800 30TH St Ste 206
Boulder, CO 80301-1026
Mailing address
5111 Williams Fork TRL Apt 201
Boulder, CO 80301-3482
National Provider Directory
National Provider DirectoryLocations
1800 30th St
Ste 206
Boulder, CO 80301
Phone (720) 724-0998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464048000000",
"number": "1831546415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 WILLIAMS FORK TRL APT 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 30TH ST STE 206",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011026",
"telephone_number": "720-724-0998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY AND BALANCE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "ELYSSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-572-6143",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.