Baker Spine and Sport Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12082 Issued in TX

Legal business name

BAKER SPINE AND SPORT INC

Practice address

620 E Lamar St
Royse City, TX 75189-3900

Phone

(972) 635-9115

Fax

(972) 635-9119

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Ray Baker, D.C.

Title

President

Phone

(972) 635-9115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1508207358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751890739",
            "telephone_number": "972-635-9115",
            "fax_number": "972-635-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E LAMAR ST",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893900",
            "telephone_number": "972-635-9115",
            "fax_number": "972-635-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER SPINE AND SPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-635-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Royse City, TX
• Providers in Royse City, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.