Active NPI
Baden James Patterson, DC
- Chiropractor
- Ammon, ID
National Provider Identifier
1821336389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1524
- 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, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8614 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonstead Physical Medicine PC | Chiropractor | Current | Accepting new patients |
| Align Chiropractic PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Phoenix, AZ
- NPI 1316163751
-
- Chiropractor
- Mesa, AZ
- NPI 1285280099
-
- Chiropractor
- Surprise, AZ
- NPI 1588969729
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.