NPIMap

Organization Active NPI

Life Balance Healthcare LLC

  • Acupuncturist
  • Westminster, CO
National Provider Identifier
1851789838
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5110 Issued in CO
Legal business name
LIFE BALANCE HEALTHCARE LLC
Practice address
7695 Church Ranch Blvd
Westminster, CO 80021-5544
Phone
(303) 635-2273
Fax
(303) 635-1225
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Shane Ryan Kokoszka, D.C. C.AC. FIAMANPI 1396821476
Title
Owner
Phone
(303) 635-2273

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5110 CO
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 5110 CO Primary

Addresses

Primary practice location

7695 Church Ranch Blvd
Westminster, CO 80021-5544

Mailing address

3220 W 62ND Ave
Denver, CO 80221-1907

National Provider Directory

National Provider Directory

Locations

7695 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 635-2273

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1851789838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W 62ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215544",
            "telephone_number": "303-635-2273",
            "fax_number": "303-635-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "KOKOSZKA",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-635-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. C.AC. FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5110",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.