Active NPI
Banacki Chiropractic Services Inc
- Neurology Chiropractor
- Palm Harbor, FL
National Provider Identifier
1891984001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH4858
- Legal business name
- BANACKI CHIROPRACTIC SERVICES INC
- Practice address
- 2429 Alt 19
Palm Harbor, FL 34683-2633 - Phone
- (727) 786-8991
- Fax
- (727) 784-1317
- NPI assigned
- Oct 24, 2007
- Last updated
- Oct 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John R Banacki, DC
- Title
- President
- Phone
- (727) 786-8991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH4858 | FL | Primary |
Addresses
Primary practice location
2429 Alt 19
Palm Harbor, FL 34683-2633
Mailing address
2429 Alt 19
Palm Harbor, FL 34683-2633
Phone (727) 786-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050461100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2429 Alt 19
Palm Harbor, FL 34683
Phone (727) 786-8991
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Palm Harbor, FL
- NPI 1942278981
-
- Neurology Chiropractor
- Palm Harbor, FL
- NPI 1174590095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1891984001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2429 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346832633",
"telephone_number": "727-786-8991",
"fax_number": "727-784-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2429 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346832633",
"telephone_number": "727-786-8991",
"fax_number": "727-784-1317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANACKI CHIROPRACTIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "BANACKI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-786-8991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH4858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050461100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.