Individual provider Active NPI

Nick James Baker, D.C.

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1578701330
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0030871 Issued in CA
Practice address
710 S Broadway Ste 110
Walnut Creek, CA 94596-5228
Phone
(925) 906-9548
NPI assigned
Jan 30, 2009
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0030871 CA Primary

Addresses

Primary practice location

710 S Broadway Ste 110
Walnut Creek, CA 94596-5228

Mailing address

710 S Broadway Ste 110
Walnut Creek, CA 94596-5228
Phone (925) 906-9548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002801 CA Practitioner - Chiropractic 6305016999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Baker Community Chiropractic, IncGroup PAC ID 5991941395, 2 clinicians

Practice addresses (Care Compare)

710 S Broadway
Suite 110
Walnut Creek, CA 94596-5228
Phone (925) 906-9548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0030871CAMDChiropractor
30871CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Community Chiropractic, Inc Chiropractor CurrentSince Oct 1, 2012 Accepting new patients

Locations

710 S Broadway
Ste 110
Walnut Creek, CA 94596
Phone (925) 256-6583

Organizations & group practices 1

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1578701330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965228",
            "telephone_number": "925-906-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965228",
            "telephone_number": "925-906-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICK",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0030871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.