New Life Spine Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3371 Issued in OH

Legal business name

NEW LIFE SPINE CENTER LLC

Practice address

1331 Conant Street #104
Maumee, OH 43537

Phone

(419) 724-5433

Fax

(419) 720-6994

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Matthew Baur, D.C.NPI 1538214549

Title

Chiropractor

Phone

(419) 724-5433

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Matthew Baur, DC

  • Chiropractor
  • Maumee, OH
  • NPI 1538214549
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1578756201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CONANT STREET #104",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-724-5433",
            "fax_number": "419-720-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 CONANT STREET #104",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-724-5433",
            "fax_number": "419-720-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "BAUR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "419-724-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483227",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9360541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jay Walter Nielsen, M.D.

• Chiropractor in Maumee, OH
• Providers in Maumee, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.

Verify at the official NPI Registry.