Individual provider Active NPI

Kenneth Charles Baker Jr., DC

  • Chiropractor
  • Mechanicsburg, PA
National Provider Identifier
1861702466
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010331 Issued in PA
Practice address
156 Cumberland Pkwy Ste 200
Mechanicsburg, PA 17055-6694
Phone
(717) 820-2998
Fax
(717) 820-2990
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010331 PA Primary

Addresses

Primary practice location

156 Cumberland Pkwy Ste 200
Mechanicsburg, PA 17055-6694

Mailing address

725 Mumper LN
Dillsburg, PA 17019-9310
Phone (570) 772-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000684 PA Practitioner - Chiropractic 6709068547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

156 Cumberland Pkwy
Suite 200
Mechanicsburg, PA 17055-6694
Phone (717) 820-2998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010331PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Baker D.C. LLC Chiropractor CurrentSince Oct 25, 2010 Accepting new patients

Locations

156 Cumberland Pkwy
Ste 200
Mechanicsburg, PA 17055
Phone (717) 697-6600

1785 Loucks Rd
York, PA 17408
Phone (717) 767-4151

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1861702466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MUMPER LN",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170199310",
            "telephone_number": "570-772-2225",
            "fax_number": "717-820-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CUMBERLAND PKWY STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556694",
            "telephone_number": "717-820-2998",
            "fax_number": "717-820-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.