Active NPI
Susan Genevieve Crump - Baker, D.C.
- Chiropractor
- Bridgeton, MO
National Provider Identifier
1902009582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003324
- Practice address
- 11558 Saint Charles Rock Rd
Bridgeton, MO 63044-2729 - Phone
- (314) 291-4401
- Fax
- (314) 291-5879
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- 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 | 003324 | MO | Primary |
Addresses
Primary practice location
11558 Saint Charles Rock Rd
Bridgeton, MO 63044-2729
Mailing address
11558 Saint Charles Rock Rd
Bridgeton, MO 63044-2729
Phone (314) 291-4401
Other names 1
- Dr. Susan Genevieve Crump- Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003324 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Chiropractic Inc | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Bridgeton, MO
- NPI 1851936389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1902009582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11558 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442729",
"telephone_number": "314-291-4401",
"fax_number": "314-291-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11558 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442729",
"telephone_number": "314-291-4401",
"fax_number": "314-291-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP - BAKER",
"first_name": "SUSAN",
"middle_name": "GENEVIEVE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "003324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CRUMP- BAKER",
"middle_name": "GENEVIEVE",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.