Individual provider Active NPI

Timothy Lawrence Baranowski, D.C.

  • Chiropractor
  • Granger, IN
National Provider Identifier
1396013744
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002547A Issued in IN
Practice address
15615 State Road 23 Suite D
Align to Health LLC
Granger, IN 46530-6606
Phone
(574) 387-5822
Fax
(574) 404-2654
NPI assigned
Dec 13, 2011
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002547A IN Primary

Addresses

Primary practice location

15615 State Road 23 Suite D
Align to Health LLC
Granger, IN 46530-6606

Mailing address

15615 State Road 23 Suite D
Align to Health
Granger, IN 46530-6606
Phone (574) 387-5822

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Granger Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602001559 IN Practitioner - Chiropractic 3274756747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15615 State Rd
23 Suite D
Granger, IN 46530-7091
Phone (574) 387-5822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002547AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align to Health Chiropractor CurrentSince Nov 30, 2020 Accepting new patients

Locations

15615 State Road 23
Ste D
Granger, IN 46530
Phone (574) 387-5822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1396013744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 STATE ROAD 23 SUITE D",
            "address_2": "ALIGN TO HEALTH",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306606",
            "telephone_number": "574-387-5822",
            "fax_number": "574-404-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 STATE ROAD 23 SUITE D",
            "address_2": "ALIGN TO HEALTH LLC",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306606",
            "telephone_number": "574-387-5822",
            "fax_number": "574-404-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANOWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002547A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Granger",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Granger",
            "address_1": "15615 State Road 23 Suite D",
            "address_2": "Align to Health LLC",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465306606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.