Organization Active NPI

Balanced Life Wellness

  • Chiropractor
  • Seneca, SC
National Provider Identifier
1831703149
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BALANCED LIFE WELLNESS
Practice address
12A Boardwalk PL
Seneca, SC 29678-2671
Phone
(864) 723-3055
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. Karen Denise McCurley, DCNPI 1467937896
Title
Sole MBR
Phone
(864) 590-9310

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

12A Boardwalk PL
Seneca, SC 29678-2671

Mailing address

12A Boardwalk PL
Seneca, SC 29678-2671
Phone (864) 723-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929001661 SC Part B Supplier - Clinic/Group Practice 9335568187 Receives reassigned benefits from 1 practitioner
Practice locations: Seneca, SC

National Provider Directory

National Provider Directory

Locations

110 Nimmons Cir
Seneca, SC 29678
Phone (864) 723-3055

12A Boardwalk Pl
Seneca, SC 29678
Phone (864) 723-3055

12 Boardwalk Pl
#A
Seneca, SC 29678
Phone (864) 723-3055

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": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1831703149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A BOARDWALK PL",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782671",
            "telephone_number": "864-723-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A BOARDWALK PL",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782671",
            "telephone_number": "864-723-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MCCURLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "864-590-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.