Organization Active NPI

Jdbaek Inc

  • Chiropractor
  • Plano, TX
National Provider Identifier
1245786102
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13170 Issued in TX
Legal business name
JDBAEK INC
Practice address
8604 Preston Rd
Suite 118
Plano, TX 75024-3318
Phone
(469) 351-7083
Fax
(844) 639-7851
NPI assigned
Aug 31, 2016
Organization subpart
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

Authorized official

Name
Dr. Daniel Baek, DC
Title
Co Owner
Phone
(469) 351-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13170 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

Other names 1

  • Keystone Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161013000291 TX Part B Supplier - Clinic/Group Practice 2860780582 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1472601600000",
    "number": "1245786102",
    "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": {
        "organization_name": "JDBAEK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "469-351-7083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.