LIVING WELL BALANCED P.C. NPI 1649784216

NPI Information

  • NPI: 1649784216
  • Provider Name: LIVING WELL BALANCED, P.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4600 LAKE BOONE TRL STE 210
    RALEIGH, NC
    ZIP 27607
  • Phone: (919) 926-8890

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NPI Details

LIVING WELL BALANCED, P.C. is a chiropractor in Raleigh, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LIVING WELL BALANCED, P.C. NPI is 1649784216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4600 LAKE BOONE TRL STE 210
RALEIGH, NC
ZIP 27607-529
Phone: (919) 926-8890
Fax: (919) 590-1825

The provider's authorized official is Ankur Prakash .
The authorized official title is Owner and has the following contact phone number (919) 926-8890.

The enumeration date for this NPI number is 11/19/2017 and was last updated on 11/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4479NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14479OTHERNORTH CAROLINANC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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