Avecina Health Care Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C5062 Issued in TX

Legal business name

AVECINA HEALTH CARE INC.

Practice address

1050 N Westmoreland Rd
Ste 400
Dallas, TX 75211-2444

Phone

(314) 339-6161

Fax

(214) 339-6222

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Asghar Baharanchi, DC FABS DAAPM

Title

Director

Phone

(214) 339-6161

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Back & Injury Clinic Doing business as

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1609820406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND",
            "address_2": "STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75211",
            "telephone_number": "314-339-6161",
            "fax_number": "214-339-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND RD",
            "address_2": "STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112444",
            "telephone_number": "314-339-6161",
            "fax_number": "214-339-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "BAHARANCHI",
        "authorized_official_first_name": "ASGHAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-339-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC FABS DAAPM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "C5062",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "5062",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "5062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001574501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back & Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.