Kevin G. Bache, DC,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01794 Issued in MD

Legal business name

KEVIN G. BACHE, DC,PC

Doing business as

Active Spinal Care & Rehabilitation Center

Practice address

46 Westminster Rd
Reisterstown, MD 21136-1025

Phone

(410) 833-8877

Fax

(410) 833-3810

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Gregroy Bache, D.C.NPI 1992740013

Title

Doctor of Ciropractic

Phone

(410) 833-8877

Specialties & licenses 1

Addresses

Other names 1

• Active Spinal Care & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin G Bache, D.C.

  • Chiropractor
  • Reisterstown, MD
  • NPI 1992740013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1740461128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WESTMINSTER RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361025",
            "telephone_number": "410-833-8877",
            "fax_number": "410-833-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WESTMINSTER RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361025",
            "telephone_number": "410-833-8877",
            "fax_number": "410-833-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN G. BACHE, DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "BACHE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GREGROY",
        "authorized_official_title_or_position": "DOCTOR OF CIROPRACTIC",
        "authorized_official_telephone_number": "410-833-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Spinal Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.

Verify at the official NPI Registry.