Active NPI
Beverly Gayle Baker, DC
- Chiropractor
- Mount Sterling, KY
National Provider Identifier
1366418154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4018
- Practice address
- 601 Doe Run Dr
Suite 5
Mount Sterling, KY 40353-9097 - Phone
- (859) 498-5540
- Fax
- (859) 498-5512
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4018 | KY | Primary |
Addresses
Primary practice location
601 Doe Run Dr
Suite 5
Mount Sterling, KY 40353-9097
Mailing address
601 Doe Run Dr
Suite 5
Mount Sterling, KY 40353-9097
Phone (859) 498-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001428 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4018 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Sterling Chiropractic Center | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Mt Sterling, KY
- NPI 1356622153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366418154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 DOE RUN DR",
"address_2": "SUITE 5",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539097",
"telephone_number": "859-498-5540",
"fax_number": "859-498-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DOE RUN DR",
"address_2": "SUITE 5",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539097",
"telephone_number": "859-498-5540",
"fax_number": "859-498-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "BEVERLY",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001428",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Sterling, KY
Sources for this page
- 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.