Individual provider Active NPI

Michael Bieganski, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1750508461
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29834 Issued in CA
Practice address
6146 Camino Verde Dr
Suite P
San Jose, CA 95119-1460
Phone
(408) 206-5909
Fax
(408) 279-3896
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29834 CA Primary

Addresses

Primary practice location

6146 Camino Verde Dr
Suite P
San Jose, CA 95119-1460

Mailing address

6146 Camino Verde Dr
Ste P
San Jose, CA 95119-1460
Phone (408) 206-5909

Other identifiers 6

IdentifierTypeStateIssuer
753207222 0000OtherCACIGNA
753207222 AOtherCAHEALTH NET
1069227OtherCABLUECROSS
DC0298340OtherCABLUE SHIELD
1069227OtherCAASH
702820OtherCAACN GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208002235 CA Practitioner - Chiropractic 4688954688 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6146 Camino Verde Dr
Suite P
San Jose, CA 95119-1460
Phone (408) 206-5909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29834CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Bieganski DC a Professional Chiropractic Corporation Chiropractor CurrentSince May 2, 2018 Accepting new patients

Locations

6146 Camino Verde Dr
Ste P
San Jose, CA 95119
Phone (408) 206-5909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1750508461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6146 CAMINO VERDE DR",
            "address_2": "STE P",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191460",
            "telephone_number": "408-206-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6146 CAMINO VERDE DR",
            "address_2": "SUITE P",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191460",
            "telephone_number": "408-206-5909",
            "fax_number": "408-279-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGANSKI",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "753207222 0000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "753207222 A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "1069227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0298340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1069227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "702820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.