Kenneth Baker D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010331 Issued in PA

Legal business name

KENNETH BAKER D.C. LLC

Practice address

156 Cumberland Pkwy Ste 200
Mechanicsburg, PA 17055-6694

Phone

(717) 820-2998

Fax

(717) 820-2990

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Charles Baker Jr., D.C.NPI 1861702466

Title

Doctor

Phone

(717) 820-2998

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Kenneth Charles Baker Jr., DC

  • Chiropractor
  • Mechanicsburg, PA
  • NPI 1861702466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1427352301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CUMBERLAND PKWY STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556694",
            "telephone_number": "717-820-2998",
            "fax_number": "717-820-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CUMBERLAND PKWY STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556694",
            "telephone_number": "717-820-2998",
            "fax_number": "717-820-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH BAKER D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "717-820-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@chirobaker.com",
            "affiliation": "N",
            "address_1": "156 Cumberland Pkwy Ste 200",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170556694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.