Richard Nicholas Baiata, D.C.
Individual provider Active NPI Chiropractor · Atlantic Beach, FL
NPI 1497965883 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1497965883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH 10325 (FL)
- Practice address
- 469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233-4026 - Phone
- (904) 241-8302
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
469 Atlantic Blvd
Atlantic Beach, FL 32233-4051
Phone (904) 241-8302
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120918000231 | FL | Practitioner - Chiropractic | 5193973121 | Practice locations: Atlantic Beach, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10325 | FL | MD | Chiropractor |
| X011135 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surfside Chiropractic of Jacksonville, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011135 | NY | |
| Chiropractor | 111N00000X | CH 10325 | FL | Yes |
Addresses
Primary practice location
469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233-4026
Mailing address
469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233-4026
Phone (917) 204-4166
Other providers in Atlantic Beach, FL
- Steven Edward Anderson II
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- Gisele Aszalos
- Aura Wellness Counseling
- Angelie Dionisia Ayala
- Megan Baker
- Shelby Baker
- Emilie D. Balkman
- Baptist Primary Care Inc
- Baptist Primary Care Inc
All providers in Atlantic Beach, FL · Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.