Individual provider Active NPI

Joshua Rodriguez Baez, DC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1538842109
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2023032045 Issued in MO
Practice address
3702 W Truman Blvd Ste 218
Jefferson City, MO 65109-6153
Phone
(573) 606-6970
NPI assigned
Aug 10, 2023
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023032045 MO Primary

Addresses

Primary practice location

3702 W Truman Blvd Ste 218
Jefferson City, MO 65109-6153

Mailing address

3702 W Truman Blvd Ste 218
Jefferson City, MO 65109-6153
Phone (573) 606-6970

Other practice location 1

621 Commons Dr
Fulton, MO 65251-1489
Phone (573) 642-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000590 MO Practitioner - Chiropractic 1850755786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Koelling Family Chiropractic JeffcityGroup PAC ID 6406198209, 4 clinicians
Koelling Family Chiropractic PCGroup PAC ID 4183795719, 4 clinicians

Practice addresses (Care Compare)

3702 W Truman Blvd
Suite 218
Jefferson City, MO 65109-6153
Phone (573) 310-9391

621 Commons Dr
Fulton, MO 65251-1489
Phone (573) 642-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1538842109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 W TRUMAN BLVD STE 218",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096153",
            "telephone_number": "573-606-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 W TRUMAN BLVD STE 218",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096153",
            "telephone_number": "573-606-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652511489",
            "country_code": "US",
            "telephone_number": "573-642-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ BAEZ",
        "first_name": "JOSHUA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023032045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.