David J. Bax, D.C., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001926A Issued in IN

Legal business name

DAVID J. BAX, D.C., INC.

Practice address

3945 Eagle Creek Pkwy
Suite D
Indianapolis, IN 46254-5617

Phone

(317) 291-7246

Fax

(317) 291-7268

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa M Mills

Title

Office Manager

Phone

(317) 291-7846

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Bax, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1144213695
  Medicare reassignment NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1356415087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 EAGLE CREEK PKWY",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545617",
            "telephone_number": "317-291-7246",
            "fax_number": "317-291-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 EAGLE CREEK PKWY",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545617",
            "telephone_number": "317-291-7246",
            "fax_number": "317-291-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. BAX, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-291-7846",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001926A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200397300A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMEDA GBA",
            "identifier": "P00245401",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000387206",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.