Rick Allan Baker, D.C.
Individual provider Active NPI Chiropractor · Sandpoint, ID
NPI 1700818796 · NPPES record last updated Dec 27, 2019
Key facts
- NPI
- 1700818796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 969 (ID)
- Practice address
- 1309 Ponderosa Drive 7B Chiropractic
Ste 202
Sandpoint, ID 83864 - Phone
- (208) 597-7863
- Fax
- (208) 597-7863
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA969 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Family Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
102 S Euclid Ave
Ste 109
Sandpoint, ID 83864
Phone (208) 263-2247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA969 | ID | |
| Chiropractor | 111N00000X | 969 | ID | Yes |
Addresses
Primary practice location
1309 Ponderosa Drive 7B Chiropractic
Ste 202
Sandpoint, ID 83864
Mailing address
1309 Ponderosa Drive 7B Chiropractic
Ste 202
Sandpoint, ID 83864
Phone (208) 597-7863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806495700 | Medicaid | ID |
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.