Bubanic Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1307 Issued in OH

Legal business name

BUBANIC CHIROPRACTIC INC.

Practice address

4082 Fulton Drive NW
Canton, OH 44718

Phone

(330) 491-8100

Fax

(844) 572-2173

NPI assigned

Nov 9, 2007

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernard P. Bubanic, DC DACBSPNPI 1629174222

Title

Owner/Provider

Phone

(330) 491-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Bernard P. Bubanic, DC DACBSP

  • Sports Physician Chiropractor
  • Canton, OH
  • NPI 1629174222
  Medicare reassignment Care Compare group NPD Authorized official
• Troy Bubanic, DC

  • Chiropractor
  • Canton, OH
  • NPI 1255924684
  Medicare reassignment Care Compare group NPD
• Daniel Michael Callisto, D.O.

  • Pediatric Adolescent Medicine Physician
  • Lima, OH
  • NPI 1730247636
  Medicare reassignment NPD

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1912187758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 FULTON DRIVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-491-8100",
            "fax_number": "844-572-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 FULTON DRIVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-491-8100",
            "fax_number": "844-572-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBANIC CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "BUBANIC",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "330-491-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DACBSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Brunker
• Gerard J Bruno, DDS
• Craig Bryant, MD
• Linda M Bryant
• Mark Bryant, O.D.
• Bernard P. Bubanic, DC DACBSP
• Troy Bubanic, DC
• Shelby Lauren Bucceri, CNS
• James Mitchell Buccigross, PH.D., DABPS
• Zakree Buccitelli, LPC

• Chiropractor in Canton, OH
• Providers in Canton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.