Organization Active NPI

Simply Balanced Chiropractic LLC

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1982487583
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SIMPLY BALANCED CHIROPRACTIC LLC
Practice address
635 Bert Kouns Industrial Loop Ste 400
Shreveport, LA 71118-5704
Phone
(318) 828-1564
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Hollie O'Neal, DC
Title
Owner/Chiropractor
Phone
(318) 680-5873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

635 Bert Kouns Industrial Loop Ste 400
Shreveport, LA 71118-5704

Mailing address

2535 Bert Kouns Industrial Loop
Suite 203 Box #139
Shreveport, LA 71118
Phone (318) 828-1564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1982487583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 203 BOX #139",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-828-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BERT KOUNS INDUSTRIAL LOOP STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711185704",
            "telephone_number": "318-828-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY BALANCED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "318-680-5873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.