Active NPI
Lisa Robin Bailes, D.C.
- Chiropractor
- Cockeysville, MD
National Provider Identifier
1871631200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01507
- Practice address
- 54 Scott Adam Rd Ste 104
Cockeysville, MD 21030-3351 - Phone
- (410) 252-7770
- Fax
- (410) 252-7774
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 | S01507 | MD | Primary |
Addresses
Primary practice location
54 Scott Adam Rd Ste 104
Cockeysville, MD 21030-3351
Mailing address
PO Box 4036
Timonium, MD 21094-4036
Phone (410) 252-7770
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1230001 | Other | MD | BLUECROSS FEDERAL |
| 103434 | Other | MD | EHP |
| 4304151 | Other | MD | AETNA |
| R1230001 | Other | MD | BLUECROSS BLUECHOICE |
| 1005453 | Other | MD | ASHN |
| 52664402 | Other | MD | BLUECROSS BLUESHIELD |
| 2135093 | Other | MD | MDIPA/UNITED HEALTHCARE |
| 39518 | Other | MD | COVENTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
54 Scott Adam Rd
Suite 104
Cockeysville, MD 21030-3351
Phone (410) 252-7770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emg Diagnostics Inc | Chiropractor | Current | Accepting new patients |
Locations
54 Scott Adam Rd
Ste 104
Cockeysville, MD 21030
Phone (410) 252-7770
2300 York Rd
Ste 117
Timonium, MD 21093
Phone (410) 252-7770
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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1871631200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4036",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210944036",
"telephone_number": "410-252-7770",
"fax_number": "410-252-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SCOTT ADAM RD STE 104",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303351",
"telephone_number": "410-252-7770",
"fax_number": "410-252-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILES",
"first_name": "LISA",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS FEDERAL",
"identifier": "R1230001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EHP",
"identifier": "103434",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4304151",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUECHOICE",
"identifier": "R1230001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1005453",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "52664402",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA/UNITED HEALTHCARE",
"identifier": "2135093",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "39518",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cockeysville, MD
- Austin's Medical Supply, Inc. (Austin Pharmacy & Medical Supplies)
- Austins Pharmacy Inc (Austin Pharmacy & Medical Supplies)
- B2R Massage Therapeutics
- Rachel Bacon
- Adila S Baig, DDS
- Stephanie Baker Kennedy, MS, CCC-SLP
- Baltimore County Deparment of Health
- Baltimore County Dept of Health
- Baltimore County Dept of Health
- Baltimore Physical Aquatic & Sports Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.