Individual provider Active NPI

Ryan C Baker, D.C.

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1023024262
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
73 3657 Issued in OR
Practice address
333 SW 5TH St
Suite B
Grants Pass, OR 97526-2513
Phone
(541) 471-0701
Fax
(541) 471-9577
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 73 3657 OR Primary

Addresses

Primary practice location

333 SW 5TH St
Suite B
Grants Pass, OR 97526-2513

Mailing address

333 SW 5TH St
Suite B
Grants Pass, OR 97526-2513
Phone (541) 471-0701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000083 OR Practitioner - Chiropractic 5092713784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73 3657ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Health, Inc. Chiropractor CurrentSince May 15, 2023 Accepting new patients
Ryan Baker, D.C. P.C. Chiropractor CurrentSince Sep 1, 2006 Accepting new patients

Locations

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Axis Health Inc 4 clinicians

Practice addresses (Care Compare)

333 SW 5TH St
Suite B
Grants Pass, OR 97526-2509
Phone (541) 471-0397

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1023024262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262513",
            "telephone_number": "541-471-0701",
            "fax_number": "541-471-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262513",
            "telephone_number": "541-471-0701",
            "fax_number": "541-471-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "73 3657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.