Organization Active NPI

Baker Chiropractic, PA

  • Chiropractor
  • Longview, TX
National Provider Identifier
1639360068
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5229 Issued in TX
Legal business name
BAKER CHIROPRACTIC, PA
Practice address
1420 McCann Rd
Longview, TX 75601-3851
Phone
(903) 753-5400
Fax
(903) 757-5604
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. John Raymond Baker, D.C.NPI 1063500742
Title
President
Phone
(903) 753-5400

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 5229 TX Primary

Addresses

Primary practice location

1420 McCann Rd
Longview, TX 75601-3851

Mailing address

1420 McCann Rd
Longview, TX 75601-3851
Phone (903) 753-5400

National Provider Directory

National Provider Directory

Locations

1420 McCann Rd
Longview, TX 75601
Phone (903) 753-5400

Practitioners & affiliated clinicians

Practitioners 5

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1639360068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013851",
            "telephone_number": "903-753-5400",
            "fax_number": "903-757-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013851",
            "telephone_number": "903-753-5400",
            "fax_number": "903-757-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-753-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.