Kenneth Robert Bauer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2310 Issued in NC

Practice address

Toringdon Medical Plaza 1
12311 Copper Way Suite 100
Charlotte, NC 28277

Phone

(704) 641-5975

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1043319106
  NPD (past) Authorized official
• Keith Clinic of Chiropractic, P.a.

  • Chiropractor
  • Charlotte, NC
  • NPI 1407832637
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306937164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 HIGHGROVE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772827",
            "telephone_number": "704-540-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORINGDON MEDICAL PLAZA 1",
            "address_2": "12311 COPPER WAY SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-641-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890826E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Baucom, MA, LCMHCA
• Jo Anne Baucom, LPTA
• Kimberley M Baucom
• Daniel Roy Bauer, M.D.
• Kaylen Buckner Bauer
• Steven Robert Bauer
• Keith James Baugh, MD
• Janice Baugher
• Anne Meredith Baughman, M.S.
• Aleah Jo Bauldry, OTR/L

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.