Active NPI
Kevin Michael Baum, D.C.
- Chiropractor
- Ballwin, MO
National Provider Identifier
1669546586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5590
- Practice address
- 972 Kehrs Mill Rd
Ballwin, MO 63011-2402 - Phone
- (636) 394-4101
- Fax
- (636) 394-3022
- NPI assigned
- Nov 20, 2006
- Last updated
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5590 | MO | Primary |
Addresses
Primary practice location
972 Kehrs Mill Rd
Ballwin, MO 63011-2402
Mailing address
972 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone (636) 394-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000664 | MO | Practitioner - Chiropractic | 4587824842 | Practice locations: Ballwin, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
972 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone (636) 394-4101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baum Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Brassie Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ballwin, MO
- NPI 1245587864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1669546586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 KEHRS MILL RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112402",
"telephone_number": "636-394-4101",
"fax_number": "636-394-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 KEHRS MILL RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112402",
"telephone_number": "636-394-4101",
"fax_number": "636-394-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "5590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
- Sharron Jean Bartle, LCSW
- Marilyn Faye Bass, LCSW
- Abbe Lynn Bassin, LCSW
- Ashley Amanda Battaglia, D.C.
- Baum Chiropractic, LLC (Baum and Brassie Chiropractic)
- Margaret Bauman, DPT
- Jamie Baumer, DPT
- Lynne Bealke, LCSW
- Bethany Becherer, D.C.
- Behavioral Psychotherapists and Consultants, Incorporated (Bpac, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.