Active NPI
Karen Baranick, D.C.
- Chiropractor
- Milwaukie, OR
National Provider Identifier
1295066504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3998
- Practice address
- 2100 SE Lake Rd
Suite 1
Milwaukie, OR 97222-7759 - Phone
- (503) 679-8544
- Fax
- (503) 926-9365
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3998 | OR | Primary |
Addresses
Primary practice location
2100 SE Lake Rd
Suite 1
Milwaukie, OR 97222-7759
Mailing address
2100 SE Lake Rd
Suite 1
Milwaukie, OR 97222-7759
Phone (503) 679-8544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117001550 | OR | Practitioner - Chiropractic | 1355752643 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Milwaukie Spine and Sport, LLC
Practice addresses (Care Compare)
2100 SE Lake Rd
Suite 1
Milwaukie, OR 97222-7759
Phone (971) 400-0625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3998 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukie Spine and Sport, LLC | Current | Accepting new patients |
Locations
2100 SE Lake Rd
Ste 1
Portland, OR 97222
Phone (503) 344-6711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1295066504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD",
"address_2": "SUITE 1",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-679-8544",
"fax_number": "503-926-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD",
"address_2": "SUITE 1",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-679-8544",
"fax_number": "503-926-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANICK",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.