Individual provider Active NPI

Wayne Jonathan Bass, DC

  • Chiropractor
  • Maplewood, NJ
National Provider Identifier
1699789230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00612800 Issued in NJ
Practice address
513A Valley St
Maplewood, NJ 07040-1337
Phone
(973) 378-2277
Fax
(973) 378-8877
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00612800 NJ Primary

Addresses

Primary practice location

513A Valley St
Maplewood, NJ 07040-1337

Mailing address

513A Valley St
Maplewood, NJ 07040-1337
Phone (973) 378-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000480 NJ Practitioner - Chiropractic 6406851443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

491 B Valley St
Maplewood, NJ 07040-1438
Phone (973) 378-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00612800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Family Chiropractic, PC Chiropractor CurrentSince May 4, 2006 Accepting new patients

Locations

491B Valley St
Maplewood, NJ 07040
Phone (973) 378-2277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699789230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513A VALLEY ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401337",
            "telephone_number": "973-378-2277",
            "fax_number": "973-378-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513A VALLEY ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401337",
            "telephone_number": "973-378-2277",
            "fax_number": "973-378-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "WAYNE",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00612800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.