Individual provider Active NPI

Adam C Baker, D.C.

  • Chiropractor
  • Anna, OH
National Provider Identifier
1588895239
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4049 Issued in OH
Practice address
515 E Main St
Suite a
Anna, OH 45302-9441
Phone
(937) 639-2060
Fax
(937) 639-2061
NPI assigned
Jul 29, 2009
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4049 OH Primary

Addresses

Primary practice location

515 E Main St
Suite a
Anna, OH 45302-9441

Mailing address

515 E Main St
Suite a
Anna, OH 45302-9441
Phone (937) 639-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000317 OH Practitioner - Chiropractic 4385790161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Chiropractic Clinic, LLCGroup PAC ID 0941211445, 3 clinicians

Practice addresses (Care Compare)

6425 Post Rd
Suite 101
Dublin, OH 43016-1215
Phone (614) 760-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4049OHMDChiropractor
5193KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Chiropractic Clinic, LLC Chiropractor CurrentSince Nov 14, 2024 Accepting new patients
Detrick Chiropractic LLC Chiropractor PastSince Sep 26, 2005 Accepting new patients
Elevate Medical Group Past Accepting new patients

Locations

6425 Post Rd
Ste 101
Dublin, OH 43016
Phone (614) 760-5555

Organizations & group practices 4

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1588895239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "address_2": "SUITE A",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "453029441",
            "telephone_number": "937-639-2060",
            "fax_number": "937-639-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "address_2": "SUITE A",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "453029441",
            "telephone_number": "937-639-2060",
            "fax_number": "937-639-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ADAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.