Organization Active NPI

Baker Chiropractic, LLC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1114206414
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5043 Issued in MN
Legal business name
BAKER CHIROPRACTIC, LLC
Practice address
2121 Cliff Dr Ste 112
Eagan, MN 55122-3335
Phone
(651) 756-1953
Fax
(866) 653-8784
NPI assigned
Aug 4, 2011
Last updated
Jan 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Dr. Morgan Jean Baker, DCNPI 1932378577
Title
Owner
Phone
(651) 756-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5043 MN Primary

Addresses

Primary practice location

2121 Cliff Dr Ste 112
Eagan, MN 55122-3335

Mailing address

2121 Cliff Dr Ste 112
Eagan, MN 55122-3335
Phone (651) 756-1953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110817000579 MN Part B Supplier - Clinic/Group Practice 4981873403 Receives reassigned benefits from 1 practitioner
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

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": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1114206414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CLIFF DR STE 112",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223335",
            "telephone_number": "651-756-1953",
            "fax_number": "866-653-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CLIFF DR STE 112",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223335",
            "telephone_number": "651-756-1953",
            "fax_number": "866-653-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-756-1953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.