Individual provider Active NPI

Michael Charles Baase, D.C.

  • Chiropractor
  • North Tonawanda, NY
National Provider Identifier
1881758282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008663-9 Issued in NY
Practice address
1263 Erie Ave
North Tonawanda, NY 14120-3035
Phone
(716) 693-0556
Fax
(716) 693-0176
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008663-9 NY Primary

Addresses

Primary practice location

1263 Erie Ave
North Tonawanda, NY 14120-3035

Mailing address

1263 Erie Ave
North Tonawanda, NY 14120-3035
Phone (716) 693-0556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000290 NY Practitioner - Chiropractic 3779629126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008663-9NYMDChiropractor
008663NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Chiropractic PC Chiropractor CurrentSince Jan 16, 2013 Accepting new patients

Locations

2283 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 580-3044

Organizations & group practices 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881758282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 ERIE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203035",
            "telephone_number": "716-693-0556",
            "fax_number": "716-693-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 ERIE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203035",
            "telephone_number": "716-693-0556",
            "fax_number": "716-693-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAASE",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008663-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.