Active NPI
Balanced Life Wellness
- Chiropractor
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Denise McCurley, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200929001661 | SC | Part B Supplier - Clinic/Group Practice | 9335568187 |
Receives reassigned benefits from 1 practitioner Practice locations: Seneca, SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Seneca, SC
- NPI 1467937896
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.