NPIMap

Organization Active NPI

Jennifer J Bak DC PC

  • Chiropractor
  • Wakefield, MA
National Provider Identifier
1609944370
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2125 Issued in MA
Legal business name
JENNIFER J BAK DC PC
Practice address
One West Water St
Ste 207
Wakefield, MA 01880
Phone
(781) 224-0010
Fax
(781) 224-0147
NPI assigned
Dec 1, 2006
Organization subpart
Yes
Parent organization
JENNIFER J BAK DC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Jennifer J Bak, DC
Title
Owner President
Phone
(781) 224-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2125 MA Primary

Addresses

Primary practice location

One West Water St
Ste 207
Wakefield, MA 01880

Mailing address

One West Water Street
Suite 207
Wakefield, MA 01880
Phone (781) 224-0010

Other identifiers 2

IdentifierTypeStateIssuer
Y39752OtherGROUP BCBS MA
Y36545OtherBCBS MA

Other names 1

  • Bak Chiropractic Doing business as

National Provider Directory

National Provider Directory
Part of
Jennifer J Bak DC PC

Locations

1 W Water St
Ste 207
Wakefield, MA 01880
Phone (781) 224-0010

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1609944370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WEST WATER STREET",
            "address_2": "SUITE 207",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-224-0010",
            "fax_number": "781-224-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WEST WATER ST",
            "address_2": "STE 207",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-224-0010",
            "fax_number": "781-224-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER J BAK DC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIFER J BAK DC PC",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "781-224-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS MA",
            "identifier": "Y39752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "Y36545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bak Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.