Organization Active NPI

Balanced Health Chiropractic Center

  • Chiropractor
  • Zeeland, MI
National Provider Identifier
1942336987
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SD008737 Issued in MI
Legal business name
BALANCED HEALTH CHIROPRACTIC CENTER
Practice address
52B East Main Street
Zeeland, MI 49464-1770
Phone
(616) 772-9255
Fax
(616) 772-9258
NPI assigned
Feb 26, 2007
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Stanley Allen Dombroski, DCNPI 1225009863
Title
President
Phone
(616) 772-9255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SD008737 MI Primary

Addresses

Primary practice location

52B East Main Street
Zeeland, MI 49464-1770

Mailing address

300 S State St
Suite 4
Zeeland, MI 49464-1676
Phone (616) 772-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000485 MI Part B Supplier - Clinic/Group Practice 2466349774 Receives reassigned benefits from 5 practitioners
Practice locations: Grand Rapids, MI; Zeeland, MI

National Provider Directory

National Provider Directory

Locations

300 S State St
Ste 4
Zeeland, MI 49464
Phone (616) 748-9700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1942336987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "SUITE 4",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641676",
            "telephone_number": "616-772-9255",
            "fax_number": "616-772-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52B EAST MAIN STREET",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641770",
            "telephone_number": "616-772-9255",
            "fax_number": "616-772-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DOMBROSKI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-772-9255",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "SD008737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.