Individual provider Active NPI

Frederick Ray Baier, D.C.

  • Chiropractor
  • Atlantic, IA
National Provider Identifier
1164479366
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06641 Issued in IA
Practice address
704 Walnut St
Ste 1
Atlantic, IA 50022-1750
Phone
(712) 254-2639
NPI assigned
May 31, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06641 IA Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000138 IA Practitioner - Chiropractic 0446142376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4839KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Basics Chiropractic, PC Chiropractor CurrentSince May 1, 2006 Accepting new patients
Revitalized Wellness PLLC PastSince May 1, 2006 Accepting new patients

Locations

704 Walnut St
Ste 1
Atlantic, IA 50022
Phone (605) 423-7557

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1164479366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WALNUT ST",
            "address_2": "STE 1",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221750",
            "telephone_number": "712-254-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WALNUT ST",
            "address_2": "STE 1",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221750",
            "telephone_number": "712-254-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIER",
        "first_name": "FREDERICK",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06641",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.