Individual provider Active NPI

Thomas J Januski, CH

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1467400879
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0749 Issued in AZ
Practice address
728 N Montezuma St
Ste a
Prescott, AZ 86301-2090
Phone
(928) 778-0147
Fax
(928) 778-0772
NPI assigned
May 5, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0749 AZ Primary

Addresses

Primary practice location

728 N Montezuma St
Ste a
Prescott, AZ 86301-2090

Mailing address

728 N Montezuma
Ste a
Prescott, AZ 86301-2090
Phone (928) 778-0147

Other identifiers 1

IdentifierTypeStateIssuer
AZ0930060OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000713 AZ Practitioner - Chiropractic 0042359465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

728 N Montezuma St
Suite a
Prescott, AZ 86301-2090
Phone (928) 778-0147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
749AZMDGeneral Practice Physician
0749AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Center, Inc. Chiropractor CurrentSince Nov 24, 2009 Accepting new patients

Locations

728 N Montezuma St
Ste A
Prescott, AZ 86301
Phone (928) 277-4992

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1467400879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N MONTEZUMA",
            "address_2": "STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012090",
            "telephone_number": "928-778-0147",
            "fax_number": "928-778-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N MONTEZUMA ST",
            "address_2": "STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012090",
            "telephone_number": "928-778-0147",
            "fax_number": "928-778-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSKI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "CH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "0749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0930060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.