Individual provider Active NPI

Robert J Baumbick, DC

  • Chiropractor
  • North Ridgeville, OH
National Provider Identifier
1780792754
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2431 Issued in OH
Practice address
35410 Center Ridge Rd
North Ridgeville, OH 44039-3018
Phone
(440) 353-0707
Fax
(440) 353-0252
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2431 OH Primary

Addresses

Primary practice location

35410 Center Ridge Rd
North Ridgeville, OH 44039-3018

Mailing address

35095 Center Ridge Rd
N Ridgeville, OH 44039-3018
Phone (440) 353-0707

Other identifiers 1

IdentifierTypeStateIssuer
2009436MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000014 OH Practitioner - Chiropractic 7618046897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35095 Ctr Ridge Rd
North Ridgeville, OH 44039-3081
Phone (440) 353-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2431OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Baumbick DC Inc Chiropractor CurrentSince Apr 5, 1999 Accepting new patients

Locations

35095 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 353-0707

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1780792754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35095 CENTER RIDGE RD",
            "city": "N RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393018",
            "telephone_number": "440-353-0707",
            "fax_number": "440-353-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35410 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393018",
            "telephone_number": "440-353-0707",
            "fax_number": "440-353-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMBICK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.