Carl J Bakomenko, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

F1-0000833 Issued in DE

Practice address

1426 N Clayton St
Wilmington, DE 19806-4006

Phone

(302) 300-4242

Fax

(302) 300-4241

NPI assigned

Jun 28, 2012

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine

Education

New York Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diamond Chiropractic LLCGroup PAC ID 7911136684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diamond Chiropractic LLC

  dba Diamond Sport & Spine Clinic

  • Chiropractor
  • Wilmington, DE
  • NPI 1821336967
  Medicare reassignment Care Compare group NPD Authorized official
• The Spine Group

  • Chiropractor
  • Wilmington, DE
  • NPI 1487993721
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1043574528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064006",
            "telephone_number": "302-300-4242",
            "fax_number": "302-300-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064006",
            "telephone_number": "302-300-4242",
            "fax_number": "302-300-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOMENKO",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamont Van Baker
• Laura C Baker, M.G.C.
• Payton Baker, MS, RD
• Reed Baker, PHARMD
• Anna Bakhshi, CNS
• Barry L Bakst, D.O.
• Balance Chiropractic, LLC
• Balance Physical Therapy, LLC
• Balance Prosthetics and Orthotics Inc
• Balanced Body Inc

• Rehabilitation Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Rehabilitation Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.