Frederick Ray Baier, D.C.
Individual provider Active NPI Chiropractor · Atlantic, IA
NPI 1164479366 · NPPES record last updated May 10, 2016
Key facts
- NPI
- 1164479366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06641 (IA)
- Practice address
- 704 Walnut St
Ste 1
Atlantic, IA 50022-1750 - Phone
- (712) 254-2639
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
704 Walnut St
Suite 1
Atlantic, IA 50022-1745
Phone (712) 254-2639
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060824000138 | IA | Practitioner - Chiropractic | 0446142376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06641 | IA | MD | Chiropractor |
| 4839 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Basics Chiropractic, PC | Chiropractor | Current |
Accepting new patients |
| Revitalized Wellness PLLC | Past |
Accepting new patients |
Locations
704 Walnut St
Ste 1
Atlantic, IA 50022
Phone (605) 423-7557
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06641 | IA | Yes |
| Chiropractor | 111N00000X | 4839 | KS |
Addresses
Primary practice location
704 Walnut St
Ste 1
Atlantic, IA 50022-1750
Mailing address
704 Walnut St
Ste 1
Atlantic, IA 50022-1750
Phone (712) 254-2639
Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.