Individual provider Active NPI

Michael Norman Baum, D.C.

  • Chiropractor
  • Miami Beach, FL
National Provider Identifier
1073514436
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 3676 Issued in FL
Practice address
1175 71St St
Miami Beach, FL 33141-3645
Phone
(305) 864-1419
Fax
(305) 861-7246
NPI assigned
Aug 9, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 3676 FL Primary
Acupuncturist 171100000X CH 3676 FL
Rehabilitation Chiropractor 111NR0400X CH 3676 FL
Independent Medical Examiner Chiropractor 111NI0013X CH 3676 FL

Addresses

Primary practice location

1175 71St St
Miami Beach, FL 33141-3645

Mailing address

1175 71St St
Miami Beach, FL 33141-3645
Phone (305) 864-1419

Other identifiers 1

IdentifierTypeStateIssuer
050317700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000589 FL Practitioner - Chiropractic 4789746322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1175 71St St
Miami Beach, FL 33141-3645
Phone (305) 864-1419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 3676FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Baum Chiropractic Clinic, P.a. Chiropractor CurrentSince Jun 24, 1981 Accepting new patients
Gordon J Braun DC PA Chiropractor Past Accepting new patients

Locations

1175 71st St
Miami Beach, FL 33141
Phone (305) 864-1419

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.

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": "1315526400000",
    "number": "1073514436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-864-1419",
            "fax_number": "305-861-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-864-1419",
            "fax_number": "305-861-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "MICHAEL",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-09-09",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 3676",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH 3676",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 3676",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH 3676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050317700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.