Organization Active NPI

Baker Boot Company & Orthopedic L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Garden City, KS
National Provider Identifier
1104176684
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAKER BOOT COMPANY & ORTHOPEDIC L.L.C.
Practice address
211 W Kansas Ave
Garden City, KS 67846-5362
Phone
(620) 275-4712
Fax
(620) 260-9668
NPI assigned
Sep 12, 2012
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Robert Lee BakerNPI 1629264189
Title
Owner
Phone
(620) 275-4712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

211 W Kansas Ave
Garden City, KS 67846-5362

Mailing address

211 W Kansas Ave
Garden City, KS 67846-5362
Phone (620) 275-4712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314000746 KS DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Pedorthic Personnel 2860623865 Practice locations: Garden City, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Baker Boot Company and Orthopedic211 W Kansas Ave, Garden City, KS 67846-5362(620) 275-4712 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 25, 2008

National Provider Directory

National Provider Directory

Locations

211 W Kansas Ave
Garden City, KS 67846
Phone (620) 275-4712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1104176684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W KANSAS AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465362",
            "telephone_number": "620-275-4712",
            "fax_number": "620-260-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W KANSAS AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465362",
            "telephone_number": "620-275-4712",
            "fax_number": "620-260-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER BOOT COMPANY & ORTHOPEDIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-275-4712"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.