Organization Active NPI

Baldwin Chiropractic, LLC

  • Chiropractor
  • Rochester, IN
National Provider Identifier
1285948778
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001587A Issued in IN
Legal business name
BALDWIN CHIROPRACTIC, LLC
Practice address
1415 Main St
Rochester, IN 46975-2109
Phone
(574) 223-5111
NPI assigned
Jul 27, 2010
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Ronney Gene Baldwin, D.C.NPI 1356412365
Title
Owner
Phone
(574) 223-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001587A IN Primary

Addresses

Primary practice location

1415 Main St
Rochester, IN 46975-2109

Mailing address

1415 Main St
Rochester, IN 46975-2109
Phone (574) 223-5111

Other identifiers 2

IdentifierTypeStateIssuer
350050854OtherINRAILROAD MEDICARE PIN
200086940AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000325 IN Part B Supplier - Clinic/Group Practice 1153597547 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, IN

National Provider Directory

National Provider Directory

Locations

1415 Main St
Rochester, IN 46975
Phone (574) 223-5111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1285948778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752109",
            "telephone_number": "574-223-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752109",
            "telephone_number": "574-223-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "RONNEY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-223-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001587A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "350050854",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.