Chirohealth Care Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2754 Issued in WI

Legal business name

CHIROHEALTH CARE CENTER LLC

Practice address

2201 S Oneida St
Suite #2
Green Bay, WI 54304-4745

Phone

(920) 496-1556

Fax

(920) 496-9860

NPI assigned

Mar 18, 2017

Organization subpart

No

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

Authorized official

Name

Richard Baranczyk, D.C.

Title

Owner

Phone

(920) 496-1556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricci Baranczyk, DC

  • Chiropractor
  • Green Bay, WI
  • NPI 1538126974
  Medicare reassignment NPD

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1306387758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 FOREST HAVEN CT",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543137968",
            "telephone_number": "920-496-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S ONEIDA ST",
            "address_2": "SUITE #2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044745",
            "telephone_number": "920-496-1556",
            "fax_number": "920-496-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROHEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "BARANCZYK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-496-1556",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38864600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital of Wisconsin
• Children'S Medical Group, Inc
• Jordan Chingo, OTR
• Kelechi Ngozi Chiori-Omotoso, M.D.
• Chiro Health Clinic SC
• Chiropractic Health and Pain Institute LLC
• Chiropractic Neurology Center of Green Bay, LLC
• Yongsub Choi
• Choice Ride LLC
• Luke Yong Zheng Chong, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.