Active NPI
Bryan a. Baetens, D.C., P.C.
Doing business as Baetens Chiropractic Center
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1477607679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BRYAN A. BAETENS, D.C., P.C.
- Doing business as
- Baetens Chiropractic Center
- Practice address
- 26000 Harper Avenue
Suite a
Saint Clair Shores, MI 48081 - Phone
- (586) 774-7920
- Fax
- (586) 774-8336
- NPI assigned
- Jan 23, 2007
- Last updated
- Jun 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan A Baetens, D.C., P.C., D.C.
- Title
- President
- Phone
- (586) 774-7920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004667 | MI | |
| Chiropractor | 111N00000X | 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
Other names 1
- Baetens Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Chiropractor
- Saint Clair Shores, MI
- NPI 1386675957
-
- Chiropractor
- Saint Clair Shores, MI
- NPI 1871669846
-
- Chiropractor
- Shelby TWP, MI
- NPI 1912938804
-
- Chiropractor
- Macomb, MI
- NPI 1316964927
-
- Chiropractor
- Eastpointe, MI
- NPI 1912182239
-
- Chiropractor
- Denver, NC
- NPI 1902999139
-
- Chiropractor
- Spring Creek, NV
- NPI 1326129552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1477607679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26000 HARPER AVENUE",
"address_2": "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",
"address_2": "SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-774-7920",
"fax_number": "586-774-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN A. BAETENS, D.C., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "BAETENS, D.C., P.C.",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-774-7920",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004667",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baetens Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 2016; 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.