Individual provider Active NPI

Joshua Daniel Baumgartner, DC

  • Chiropractor
  • Morenci, MI
National Provider Identifier
1598871220
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008771 Issued in MI
Practice address
102 W Main St
Morenci, MI 49256-1419
Phone
(517) 458-7768
Fax
(517) 458-3202
NPI assigned
Aug 23, 2006
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008771 MI Primary

Addresses

Primary practice location

102 W Main St
Morenci, MI 49256-1419

Mailing address

9756 Packard Rd
Morenci, MI 49256-9557
Phone (517) 458-6434

Other identifiers 1

IdentifierTypeStateIssuer
0D61058OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000639 MI Practitioner - Chiropractic 1759367782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 W Main St
Morenci, MI 49256-1419
Phone (517) 458-7768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008771MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spot - Baumgartner Chiropractic & Nutritional Wellness Center PLC Chiropractor CurrentSince Apr 26, 2010 Accepting new patients
Big Vision, LLC Chiropractor PastSince Jul 22, 2004 Accepting new patients

Locations

102 W Main St
Morenci, MI 49256
Phone (517) 458-7768

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1598871220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9756 PACKARD RD",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492569557",
            "telephone_number": "517-458-6434",
            "fax_number": "517-458-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "MORENCI",
            "state": "MI",
            "postal_code": "492561419",
            "telephone_number": "517-458-7768",
            "fax_number": "517-458-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0D61058",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morenci, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.