Balanced Spine and Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009021952 Issued in MO

Legal business name

BALANCED SPINE AND HEALTH LLC

Practice address

677 N New Ballas Rd Ste 220
Creve Coeur, MO 63141-6732

Phone

(314) 995-9704

Fax

(314) 995-9732

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sung Kwang Lee, D.C.

Title

Doctor of Chiropractic

Phone

(314) 995-9804

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1861834541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD STE 220",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-995-9704",
            "fax_number": "314-995-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD STE 220",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-995-9704",
            "fax_number": "314-995-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED SPINE AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNG KWANG",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "314-995-9804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009021952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer L Baer
• Dustin N Bailey, L.P.C.
• Theresa R Bajt, PHD
• Claire Baker
• Balanced Care for Women of St Louis, PC
• Amanda Michelle Baldwin, FNP
• Kathrene O Bale, WHNP-BC
• Sriramachandramurthy Bandari, DDS
• Lindsay Bandy, PHARMD
• Eric Robert Barbarite, MD

• Chiropractor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.