Individual provider Active NPI

Jeremy R Baker, D.C.

  • Chiropractor
  • Sturgis, KY
National Provider Identifier
1063705838
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5292 Issued in KY
Practice address
412 N Main St
Sturgis, KY 42459-1630
Phone
(270) 333-4641
Fax
(270) 333-4641
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5292 KY Primary

Addresses

Primary practice location

412 N Main St
Sturgis, KY 42459-1630

Mailing address

412 N Main St
PO Box 124
Sturgis, KY 42459-1630
Phone (270) 333-4641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000808 KY Practitioner - Chiropractic 7315115300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Chiropractic LLCGroup PAC ID 6608044698, 2 clinicians

Practice addresses (Care Compare)

319 8TH St
Henderson, KY 42420-2963
Phone (270) 212-0388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sturgis Clinic CurrentSince Mar 24, 2025 Accepting new patients

Locations

412 N Main St
Sturgis, KY 42459
Phone (270) 333-4641

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1063705838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N MAIN ST",
            "address_2": "PO BOX 124",
            "city": "STURGIS",
            "state": "KY",
            "postal_code": "424591630",
            "telephone_number": "270-333-4641",
            "fax_number": "270-333-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MAIN ST",
            "city": "STURGIS",
            "state": "KY",
            "postal_code": "424591630",
            "telephone_number": "270-333-4641",
            "fax_number": "270-333-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.