Organization Active NPI

Body and Balance Chiropractic

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1831546415
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007385 Issued in CO
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

Updated by the provider on May 24, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.