Organization Active NPI

Baranski Chiropractic Incorporated

  • Sports Physician Chiropractor
  • Ventura, CA
National Provider Identifier
1659561959
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC27583 Issued in CA
Legal business name
BARANSKI CHIROPRACTIC INCORPORATED
Doing business as
Advanced Spine & Sport Chiropractic
Practice address
4601 Telephone Rd Ste 110
Ventura, CA 93003-5671
Phone
(805) 642-4061
Fax
(805) 642-7295
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. James R Baranski, D.C.NPI 1306918875
Title
Chiropractor
Phone
(805) 642-4061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC27583 CA Primary

Addresses

Primary practice location

4601 Telephone Rd Ste 110
Ventura, CA 93003-5671

Mailing address

4601 Telephone Rd Ste 110
Ventura, CA 93003-5671
Phone (805) 642-4061

Other names 1

  • Advanced Spine & Sport Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000821 CA Part B Supplier - Clinic/Group Practice 0840374922 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

4601 Telephone Rd
Ste 110
Ventura, CA 93003
Phone (805) 642-4061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1659561959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035671",
            "telephone_number": "805-642-4061",
            "fax_number": "805-642-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TELEPHONE RD STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035671",
            "telephone_number": "805-642-4061",
            "fax_number": "805-642-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARANSKI CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-642-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC27583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spine & Sport Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.