Organization Active NPI

Baranowski Spinalcare LLC

  • Chiropractor
  • Elkhart, IN
National Provider Identifier
1619429826
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002547A Issued in IN
Legal business name
BARANOWSKI SPINALCARE LLC
Practice address
1709 E. Bristol St.
Elkhart, IN 46514-4553
Phone
(574) 264-9174
Fax
(574) 262-4070
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Timothy L Baranowski, D.C.
Title
Chiropractor
Phone
(574) 264-9174

Specialties & licenses 1

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

Addresses

Primary practice location

1709 E. Bristol St.
Elkhart, IN 46514-4553

Mailing address

1709 E. Bristol St.
Elkhart, IN 46514-4553
Phone (574) 264-9174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1619429826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 E. BRISTOL ST.",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144553",
            "telephone_number": "574-264-9174",
            "fax_number": "574-262-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 E. BRISTOL ST.",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144553",
            "telephone_number": "574-264-9174",
            "fax_number": "574-262-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARANOWSKI SPINALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "BARANOWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "574-264-9174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002547A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.