Organization Active NPI

Haynes Chiropractic, Inc.

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1326577248
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21998 Issued in CA
Legal business name
HAYNES CHIROPRACTIC, INC.
Practice address
3865 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone
(661) 322-2875
Fax
(661) 397-8882
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Dr. Jeffrey David Haynes, DCNPI 1649340688
Title
President
Phone
(661) 322-2875

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21998 CA Primary

Addresses

Primary practice location

3865 Stockdale Hwy
Bakersfield, CA 93309-2188

Mailing address

3865 Stockdale Hwy
Bakersfield, CA 93309-2188
Phone (661) 322-2875

Other identifiers 1

IdentifierTypeStateIssuer
1649340688OtherCAHEALTH INSURANCE

Other names 1

  • Haynes Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180126001036 CA Part B Supplier - Clinic/Group Practice 9537429220 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

3865 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-2875

Practitioners & affiliated clinicians

Practitioners 2

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": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1326577248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092188",
            "telephone_number": "661-322-2875",
            "fax_number": "661-397-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092188",
            "telephone_number": "661-322-2875",
            "fax_number": "661-397-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-322-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH INSURANCE",
            "identifier": "1649340688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haynes Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Haynes Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.