NPIMap

Organization Active NPI

Derek T Baron

  • Chiropractor
  • Rhinelander, WI
National Provider Identifier
1619045655
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3568-012 Issued in WI
Legal business name
DEREK T BARON
Practice address
1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674
Phone
(715) 369-1001
Fax
(715) 369-1003
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Derek T Baron, D.C.NPI 1497731616
Title
Clinic Director
Phone
(715) 369-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3568-012 WI Primary

Addresses

Primary practice location

1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674

Mailing address

1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674
Phone (715) 369-1001

Other identifiers 1

IdentifierTypeStateIssuer
38911800MedicaidWI

Other names 1

  • Integrity Family Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

1903 Lincoln St
#2
Rhinelander, WI 54501
Phone (715) 367-1001

Practitioners & affiliated clinicians

Practitioners 3

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1619045655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013674",
            "telephone_number": "715-369-1001",
            "fax_number": "715-369-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013674",
            "telephone_number": "715-369-1001",
            "fax_number": "715-369-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK T BARON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "715-369-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3568-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38911800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.