Active NPI
Bryan Alan Baetens, D.C.
- Chiropractor
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004667
- Practice address
- 26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081 - Phone
- (586) 774-7920
- Fax
- (586) 774-8336
- NPI assigned
- Jul 5, 2006
- Last updated
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 2301004667 | MI | Primary |
Addresses
Primary practice location
26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081
Mailing address
26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081
Phone (586) 774-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26000 Harper Ave
Suite a
Saint Clair Shores, MI 48081-3773
Phone (586) 774-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301004667 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan a. Baetens, D.C., P.C. | Chiropractor | Current | Accepting new patients |
Locations
19416 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 774-7920
26000 Harper Ave
Ste A
St Clr Shores, MI 48081
Phone (586) 774-7920
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baetens Chiropractic Center
- Chiropractor
- Saint Clair Shores, MI
- NPI 1477607679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1386675957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26000 HARPER AVENUE SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-774-7920",
"fax_number": "586-774-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26000 HARPER AVENUE SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-774-7920",
"fax_number": "586-774-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAETENS",
"first_name": "BRYAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.