Ryan Baack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007425 Issued in CO

Practice address

1421 S Potomac St Ste 330
Aurora, CO 80012-4512

Phone

(303) 953-2920

Fax

(303) 997-5225

NPI assigned

Mar 25, 2016

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renue U Medspa PC

  dba Advanced Restore Health

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1174336127
  NPD
• Renue U Medspa PC

  dba Advanced Restore Health

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1811658289

  Chiropractor

  NPD

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1841652161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "303-953-2920",
            "fax_number": "303-997-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "303-953-2920",
            "fax_number": "303-997-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAACK",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0007425",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007425",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0007425",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CO",
            "license": "CHR.0007425",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CHR.0007425",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "CHR.0007425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CHR.0007425",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sue A. M. Babcock, NP
• Taylor Jennifer Babcock, MOTR/L

• Chiropractor in Aurora, CO
• Providers in Aurora, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.