Individual provider Active NPI

Michael Angelo Baxter, DC

  • Chiropractor
  • Whitney Point, NY
National Provider Identifier
1801889407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010492-1 Issued in NY
Practice address
2621 W Main Street
Whitney Point, NY 13862
Phone
(607) 692-3961
Fax
(607) 692-2514
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010492-1 NY Primary

Addresses

Primary practice location

2621 W Main Street
Whitney Point, NY 13862

Mailing address

PO Box 710
Whitney Point, NY 13862-0710
Phone (607) 692-3961

Other identifiers 5

IdentifierTypeStateIssuer
652562OtherNYACN
1050112OtherNYASH
3047630OtherNYCDPHP
000144094OtherNYEXCELLUS BC/BS
C10492-9WOtherNYWORK COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000995 NY Practitioner - Chiropractic 5092792614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians
Whitney Point Chiropractic P.C.Group PAC ID 4587677919, 2 clinicians

Practice addresses (Care Compare)

2360 State Route 89
Seneca Falls, NY 13148-9425
Phone (315) 568-3000

2642 Main St
Whitney Point, NY 13862-2242
Phone (607) 692-3961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010492-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Northeast College of Health Sciences Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Otselic Valley Family Health NP PC Past Accepting new patients

Locations

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

Organizations & group practices 4

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801889407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "138620710",
            "telephone_number": "607-692-3961",
            "fax_number": "607-692-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W MAIN STREET",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "13862",
            "telephone_number": "607-692-3961",
            "fax_number": "607-692-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010492-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "652562",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1050112",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "3047630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "000144094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "C10492-9W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitney Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.