Individual provider Active NPI

Adam Franklin Baumgardner, D.C.

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1649444316
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7907 Issued in AZ
Practice address
600 N Bullard Ave Ste 10
Goodyear, AZ 85338-2518
Phone
(623) 866-3995
Fax
(623) 536-2008
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7907 AZ Primary

Addresses

Primary practice location

600 N Bullard Ave Ste 10
Goodyear, AZ 85338-2518

Mailing address

600 N Bullard Ave Ste 10
Goodyear, AZ 85338-2518
Phone (623) 866-3995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7907AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1649444316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BULLARD AVE STE 10",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382518",
            "telephone_number": "623-866-3995",
            "fax_number": "623-536-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BULLARD AVE STE 10",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382518",
            "telephone_number": "623-866-3995",
            "fax_number": "623-536-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "ADAM",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.