Active NPI
Balance Chiropractic and Rehab PC
- Primary Care Nurse Practitioner
- West Fargo, ND
National Provider Identifier
1851626055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 832 | ND | |
| Chiropractor | 111N00000X | |||
| Primary Care Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10898 | Medicaid | ND |
Other names 2
- Balance Chiropractic & Medical
- Balance Chiropractic and Rehab P.C.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- West Fargo, ND
- NPI 1003430810
-
- Massage Therapist
- West Fargo, ND
- NPI 1003576562
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.