Organization Active NPI

Balance Chiropractic and Rehab PC

  • Primary Care Nurse Practitioner
  • West Fargo, ND
National Provider Identifier
1851626055
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BALANCE CHIROPRACTIC AND REHAB PC
Practice address
3140 Bluestem Dr Ste 103
West Fargo, ND 58078-8010
Phone
(701) 893-7878
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Dr. Daniel Ian Pozarnsky, DC
Title
President
Phone
(952) 201-8472

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 832 ND
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3140 Bluestem Dr Ste 103
West Fargo, ND 58078-8010

Mailing address

3140 Bluestem Dr Ste 103
West Fargo, ND 58078-8010
Phone (952) 201-8472

Other identifiers 1

IdentifierTypeStateIssuer
10898MedicaidND

Other names 2

  • Balance Chiropractic & Medical Doing business as
  • Balance Chiropractic and Rehab P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

300 45th St S
Ste 315
Fargo, ND 58103
Phone (701) 356-7660

3140 Bluestem Dr
Ste 103
West Fargo, ND 58078
Phone (701) 893-7878

Practitioners & affiliated clinicians

Practitioners 2

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1851626055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BLUESTEM DR STE 103",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788010",
            "telephone_number": "952-201-8472",
            "fax_number": "701-893-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BLUESTEM DR STE 103",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788010",
            "telephone_number": "701-893-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CHIROPRACTIC AND REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "POZARNSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-201-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "832",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10898",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Chiropractic & Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balance Chiropractic and Rehab P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balance Chiropractic and Rehab P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.