Active NPI
Jeremy R Baker, D.C.
- Chiropractor
- Sturgis, KY
National Provider Identifier
1063705838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5292
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sturgis Clinic | Current | 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.
-
- Chiropractor
- Sturgis, KY
- NPI 1962798777
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.