Individual provider Active NPI

Joshua Baek, DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1174079032
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13169 Issued in TX
Practice address
8604 Preston Rd
Suite 118
Plano, TX 75024-3318
Phone
(469) 351-7083
Fax
(844) 639-7851
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13169 TX Primary

Addresses

Primary practice location

8604 Preston Rd
Suite 118
Plano, TX 75024-3318

Mailing address

8604 Preston Rd
Suite 118
Plano, TX 75024-3318
Phone (469) 351-7083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000421 TX Practitioner - Chiropractic 6406144120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8604 Preston Rd
Suite 118
Plano, TX 75024-3319
Phone (469) 351-7083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jdbaek Inc Chiropractor CurrentSince Oct 15, 2016 Accepting new patients

Locations

8604 Preston Rd
Ste 118
Plano, TX 75024
Phone (469) 351-7083

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1174079032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 PRESTON RD",
            "address_2": "SUITE 118",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243318",
            "telephone_number": "469-351-7083",
            "fax_number": "844-639-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 PRESTON RD",
            "address_2": "SUITE 118",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243318",
            "telephone_number": "469-351-7083",
            "fax_number": "844-639-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.