NPIMap

Organization Active NPI

In Balance Acupuncture & Wellness Center, LLC

  • Acupuncturist
  • Kenosha, WI
National Provider Identifier
1871847707
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
747-55
Legal business name
IN BALANCE ACUPUNCTURE & WELLNESS CENTER, LLC
Practice address
5906 39TH Ave
Kenosha, WI 53144-2738
Phone
(262) 584-9955
Fax
(262) 584-9956
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mrs. Kristin J Cabranes, MSOM, L.AC
Title
Owner
Phone
(262) 584-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 747-55 Primary

Addresses

Primary practice location

5906 39TH Ave
Kenosha, WI 53144-2738

Mailing address

5906 39TH Ave
Kenosha, WI 53144-2738
Phone (262) 584-9955

National Provider Directory

National Provider Directory

Locations

5906 39th Ave
Kenosha, WI 53144
Phone (262) 584-9955

Practitioners & affiliated clinicians

Practitioners 4

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1871847707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442738",
            "telephone_number": "262-584-9955",
            "fax_number": "262-584-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442738",
            "telephone_number": "262-584-9955",
            "fax_number": "262-584-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE ACUPUNCTURE & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "CABRANES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-584-9955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOM, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "747-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.