Organization Active NPI

Bak Chiropractic, P.C.

  • Health Service Clinic/Center
  • Watertown, SD
National Provider Identifier
1629410345
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BAK CHIROPRACTIC, P.C.
Practice address
1 5TH St SE
Watertown, SD 57201-3714
Phone
(605) 882-4252
Fax
(605) 886-5589
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Brian C Bak, D.C.NPI 1861532913
Title
Owner
Phone
(605) 882-4252

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1 5TH St SE
Watertown, SD 57201-3714

Mailing address

1 5TH St SE
Watertown, SD 57201-3714
Phone (605) 882-4252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130731000347 SD Part B Supplier - Clinic/Group Practice 1456592641 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, SD

National Provider Directory

National Provider Directory

Locations

1 5th St SE
Watertown, SD 57201
Phone (605) 882-4252

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": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1629410345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 5TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013714",
            "telephone_number": "605-882-4252",
            "fax_number": "605-886-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 5TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013714",
            "telephone_number": "605-882-4252",
            "fax_number": "605-886-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-882-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.