Bass Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00612800 Issued in NJ

Legal business name

BASS FAMILY CHIROPRACTIC, PC

Practice address

491 Valley St
B
Maplewood, NJ 07040-1331

Phone

(973) 378-2277

Fax

(973) 378-8877

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Jonathan Bass, DCNPI 1699789230

Title

President

Phone

(973) 378-2277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne Jonathan Bass, DC

  • Chiropractor
  • Maplewood, NJ
  • NPI 1699789230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1194734517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 VALLEY ST",
            "address_2": "B",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401331",
            "telephone_number": "973-378-2277",
            "fax_number": "973-378-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 VALLEY ST",
            "address_2": "B",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401331",
            "telephone_number": "973-378-2277",
            "fax_number": "973-378-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-378-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00612800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalavathi Ayyagari, M.D.
• Kamalakar R. Ayyagari, M.D.
• Shobha Ayyappan, MS, LPC
• Kira Baskerville-Williams, LCSW
• Ruby Baskerville, LCSW
• Michelle Bass, LCSW
• Wayne Jonathan Bass, DC
• Catherine Bataille, M.S.W.
• Bayada Home Health Care, Inc.
• Beacon Physical Therapy PC

• Chiropractor in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.