Individual provider Active NPI

Karen Baranick, D.C.

  • Chiropractor
  • Milwaukie, OR
National Provider Identifier
1295066504
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3998 Issued in OR
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

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 0446661730, 2 clinicians

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

LicenseStateTypeSpecialty
3998ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukie Spine and Sport, LLC CurrentSince Oct 7, 2020 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.

Verify at the official NPI Registry.