Organization Active NPI

Baker Boulevard Family Chiropractic, P.C.

  • Chiropractor
  • Richland Hills, TX
National Provider Identifier
1396070355
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8480 Issued in TX
Legal business name
BAKER BOULEVARD FAMILY CHIROPRACTIC, P.C.
Practice address
7201 Baker Blvd
Suite C-1
Richland Hills, TX 76118-5864
Phone
(817) 595-9206
Fax
(817) 595-9139
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Scott A Sieja, D.C.NPI 1215904420
Title
President
Phone
(817) 595-9206

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
Chiropractor 111N00000X 8480 TX Primary

Addresses

Primary practice location

7201 Baker Blvd
Suite C-1
Richland Hills, TX 76118-5864

Mailing address

PO Box 48413
Watauga, TX 76148-0413
Phone (817) 595-9206

Other identifiers 1

IdentifierTypeStateIssuer
146380402MedicaidTX

National Provider Directory

National Provider Directory

Locations

7201 Baker Blvd
Ste C1
Richland Hills, TX 76118
Phone (817) 595-9206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1396070355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48413",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761480413",
            "telephone_number": "817-595-9206",
            "fax_number": "817-595-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 BAKER BLVD",
            "address_2": "SUITE C-1",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761185864",
            "telephone_number": "817-595-9206",
            "fax_number": "817-595-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER BOULEVARD FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "SIEJA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-595-9206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146380402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.