Active NPI
Baker Community Chiropractic, Inc
- Chiropractor
- Walnut Creek, CA
National Provider Identifier
1649523960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30871
- Legal business name
- BAKER COMMUNITY CHIROPRACTIC, INC
- Practice address
- 710 S Broadway Ste 110
Walnut Creek, CA 94596-5228 - Phone
- (925) 451-1360
- NPI assigned
- Oct 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick Baker, DC
- Title
- President
- Phone
- (925) 906-9548
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30871 | CA | Primary |
Addresses
Primary practice location
710 S Broadway Ste 110
Walnut Creek, CA 94596-5228
Mailing address
710 S Broadway Ste 110
Walnut Creek, CA 94596-5228
Phone (925) 451-1360
Other names 1
- Baker Family Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130409000116 | CA | Part B Supplier - Clinic/Group Practice | 5991941395 |
Receives reassigned benefits from 2 practitioners Practice locations: Walnut Creek, CA |
National Provider Directory
National Provider DirectoryLocations
710 S Broadway
Ste 110
Walnut Creek, CA 94596
Phone (925) 451-1360
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Walnut Creek, CA
- NPI 1578478731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351036800000",
"number": "1649523960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S BROADWAY STE 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965228",
"telephone_number": "925-451-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S BROADWAY STE 110",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965228",
"telephone_number": "925-451-1360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER COMMUNITY CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-906-9548",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "30871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baker Family Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.