Organization Active NPI

Acupuncture Clinic

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1710106158
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6152 Issued in TX
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 CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC6152 TX Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00396XOtherGROUP #

Other names 1

  • Advanced Health Clinic Doing business as

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.

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.

Verify at the official NPI Registry.