Michael Bieganski DC a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

29834 Issued in CA

Legal business name

MICHAEL BIEGANSKI DC A PROFESSIONAL CHIROPRACTIC CORPORATION

Doing business as

Dynamic Chiropractic

Practice address

6146 Camino Verde Dr
Suite P
San Jose, CA 95119

Phone

(408) 206-5909

Fax

(408) 224-5409

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bieganski, D.C.NPI 1750508461

Title

Chiropractor

Phone

(408) 206-5909

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Bieganski, DC

  • Chiropractor
  • San Jose, CA
  • NPI 1750508461
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1972042737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "408-224-5409"
        },
        {
            "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": "95119",
            "telephone_number": "408-206-5909",
            "fax_number": "408-224-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BIEGANSKI DC A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "BIEGANSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "408-206-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.