Individual provider Active NPI

Jesse Karl Baldwin, DC

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1306982004
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5069 Issued in CO
Practice address
4585 S Chambers Rd
Aurora, CO 80015-1416
Phone
(303) 766-1908
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5069 CO Primary

Addresses

Primary practice location

4585 S Chambers Rd
Aurora, CO 80015-1416

Mailing address

4585 S Chambers Road
Aurora, CO 80015-1420
Phone (303) 766-1908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000854 CO Practitioner - Chiropractic 4880689561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20941 E Smoky Hill Rd
Unit I
Centennial, CO 80015-5197
Phone (303) 766-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5069COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Chiropractic, Inc. Chiropractor CurrentSince Sep 7, 2006 Accepting new patients

Locations

20941 E Smoky Hill Rd
Unit I
Centennial, CO 80015
Phone (303) 766-1908

5657 S Himalaya St
Ste 250
Centennial, CO 80015
Phone (303) 617-0777

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1306982004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 S CHAMBERS ROAD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151420",
            "telephone_number": "303-766-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151416",
            "telephone_number": "303-766-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JESSE",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.