Active NPI
Acupuncture Clinic
- Chiropractor
- Corpus Christi, TX
National Provider Identifier
1710106158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6152
- Legal business name
- ACUPUNCTURE CLINIC
- Practice address
- 5705 Gollihar
Ste 2
Corpus Christi, TX 78412 - Phone
- (361) 991-0460
- Fax
- (361) 992-1094
- NPI assigned
- Apr 24, 2007
- Organization subpart
- Yes
- Parent organization
- ACUPUNCTURE CLINIC DBA ADVANCED HEALTH CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jalil Baradaran, L.A.C.
- Title
- President
- Phone
- (361) 991-0460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC6152 | TX | Primary |
| Acupuncturist | 171100000X | AC138 | TX |
Addresses
Primary practice location
5705 Gollihar
Ste 2
Corpus Christi, TX 78412
Mailing address
5705 Gollihar
Ste 2
Corpus Christi, TX 78412
Phone (361) 991-0460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00396X | Other | GROUP # |
Other names 1
- Advanced Health Clinic
National Provider Directory
National Provider Directory- Part of
- Acupuncture Clinic
Locations
5705 Gollihar Rd
#2
Corpus Christi, TX 78412
Phone (361) 991-0160
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cedar Park, TX
- NPI 1124534417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227657600000",
"number": "1710106158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 GOLLIHAR",
"address_2": "STE 2",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-991-0460",
"fax_number": "361-992-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 GOLLIHAR",
"address_2": "STE 2",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-991-0460",
"fax_number": "361-992-1094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACUPUNCTURE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACUPUNCTURE CLINIC DBA ADVANCED HEALTH CLINIC",
"enumeration_date": "2007-04-24",
"last_updated": "2008-11-26",
"status": "A",
"authorized_official_last_name": "BARADARAN",
"authorized_official_first_name": "JALIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "361-991-0460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "L.A.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "DC6152",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC138",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP #",
"identifier": "00396X",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.