Organization Active NPI

Bakaysa Chiropractic, PLLC

  • Chiropractor
  • Asheboro, NC
National Provider Identifier
1093474009
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAKAYSA CHIROPRACTIC, PLLC
Practice address
177 Highway 42 North
Suite a
Asheboro, NC 27203-7955
Phone
(336) 625-1750
Fax
(336) 629-7650
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Krsita Nance
Title
Insurance Specialist
Phone
(336) 625-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

177 Highway 42 North
Suite a
Asheboro, NC 27203-7955

Mailing address

177 Hwy 42 North
Suite a
Asheboro, NC 27203-7955
Phone (336) 625-1750

Other names 1

  • Blase Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120001869 NC Part B Supplier - Clinic/Group Practice 3274925474 Receives reassigned benefits from 2 practitioners
Practice locations: Asheboro, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1093474009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 HWY 42 NORTH",
            "address_2": "SUITE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272037955",
            "telephone_number": "336-625-1750",
            "fax_number": "336-629-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 HIGHWAY 42 NORTH",
            "address_2": "SUITE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272037955",
            "telephone_number": "336-625-1750",
            "fax_number": "336-629-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKAYSA CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "KRSITA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "336-625-1750"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blase Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.