Individual provider Active NPI

Craig Ira Bauer, DC

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1427180272
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8459 Issued in FL
Practice address
6067 Hollywood Blvd
Suite 202
Hollywood, FL 33024-7947
Phone
(954) 322-9798
Fax
(954) 322-9787
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8459 FL Primary

Addresses

Primary practice location

6067 Hollywood Blvd
Suite 202
Hollywood, FL 33024-7947

Mailing address

PO Box 50167
Lighthouse Point, FL 33074-0167
Phone (954) 322-9798

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

LicenseStateTypeSpecialty
008623NYMDMental Health Counselor
CH8459FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1427180272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50167",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330740167",
            "telephone_number": "954-322-9798",
            "fax_number": "954-322-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 HOLLYWOOD BLVD",
            "address_2": "SUITE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247947",
            "telephone_number": "954-322-9798",
            "fax_number": "954-322-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CRAIG",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.