Individual provider Active NPI

Channing A Baird, O.D., INC.

  • Optometrist
  • Denver, CO
National Provider Identifier
1043211477
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1691 Issued in CO
Practice address
1061 S Gaylord St
Denver, CO 80209-4635
Phone
(303) 282-5427
Fax
(303) 282-5430
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1691 CO Primary

Addresses

Primary practice location

1061 S Gaylord St
Denver, CO 80209-4635

Mailing address

1061 S Gaylord St
Denver, CO 80209-4635
Phone (303) 282-5427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000833 CO Practitioner - Optometry 1759346307 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1033 S Gaylord St
Denver, CO 80209-4635
Phone (303) 282-5429

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1691COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joel H. Goldstein MD PC Past Accepting new patients
University Physicians Incorporated Past Accepting new patients

Networks

  • CO HMO C-SNP
  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1043211477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 S GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094635",
            "telephone_number": "303-282-5427",
            "fax_number": "303-282-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094635",
            "telephone_number": "303-282-5427",
            "fax_number": "303-282-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "CHANNING",
        "middle_name": "A",
        "credential": "O.D., INC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.