Individual provider Active NPI

Baden James Patterson, DC

  • Chiropractor
  • Ammon, ID
National Provider Identifier
1821336389
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1524 Issued in ID
Practice address
3110 Molen St
Ammon, ID 83406-7655
Phone
(208) 360-7711
Fax
(208) 232-0108
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1524 ID Primary

Addresses

Primary practice location

3110 Molen St
Ammon, ID 83406-7655

Mailing address

3110 Molen St
Ammon, ID 83406-7655
Phone (208) 360-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001708 AZ Practitioner - Chiropractic 6709023310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6731 E Brown Rd
Suite 101
Mesa, AZ 85205-4964
Phone (480) 758-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8614AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gonstead Physical Medicine PC Chiropractor CurrentSince Feb 9, 2019 Accepting new patients
Align Chiropractic PLLC Chiropractor CurrentSince Feb 9, 2019 Accepting new patients

Locations

2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027
Phone (602) 973-1630

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1821336389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 MOLEN ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067655",
            "telephone_number": "208-360-7711",
            "fax_number": "208-232-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 MOLEN ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067655",
            "telephone_number": "208-360-7711",
            "fax_number": "208-232-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BADEN",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.