Individual provider Active NPI

Armando Roman Babcock, DC

  • Chiropractor
  • Ontario, CA
National Provider Identifier
1548330442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22961 Issued in CA
Practice address
2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489
Phone
(909) 923-6777
Fax
(909) 923-0774
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22961 CA Primary

Addresses

Primary practice location

2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489

Mailing address

2780 E Riverside Dr
Suite a
Ontario, CA 91761-7489
Phone (909) 923-6777

Other identifiers 1

IdentifierTypeStateIssuer
DC22961OtherCACA LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090626000205 KS Practitioner - Chiropractic 9335290626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 N Rock Rd
Suite a 2
Wichita, KS 67226-1375
Phone (316) 612-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22961CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical PA Chiropractor Current Accepting new patients
Trinity Chiropractic Inc. Chiropractor CurrentSince Jun 4, 2012 Accepting new patients
Melvin Chiropractic Health Center PastSince Nov 5, 2008 Accepting new patients

Locations

3300 N Rock Rd
Ste A-2
Wichita, KS 67226
Phone (316) 612-0600

Organizations & group practices 3

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548330442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617489",
            "telephone_number": "909-923-6777",
            "fax_number": "909-923-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E RIVERSIDE DR",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617489",
            "telephone_number": "909-923-6777",
            "fax_number": "909-923-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "ARMANDO",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE NUMBER",
            "identifier": "DC22961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.