Individual provider Active NPI

Travis A Baker, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1982996609
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1683 Issued in NE
Practice address
1817 N 169TH PLZ
Suite B
Omaha, NE 68118-2846
Phone
(402) 932-8108
Fax
(402) 932-8109
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1683 NE Primary

Addresses

Primary practice location

1817 N 169TH PLZ
Suite B
Omaha, NE 68118-2846

Mailing address

1817 N 169TH PLZ
Ste B
Omaha, NE 68118-2831
Phone (402) 881-6831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820001179 NE Practitioner - Chiropractic 1658528096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1817 N 169TH PLZ B
Omaha, NE 68118-2846
Phone (402) 932-8108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Body Acupuncture & Chiropractic, LLC. Chiropractor CurrentSince Jun 23, 2012 Accepting new patients

Locations

1817 N 169th Plz
Omaha, NE 68118
Phone (402) 573-9442

1817 N 169th Plz
Ste B
Omaha, NE 68118
Phone (402) 932-8108

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1982996609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N 169TH PLZ",
            "address_2": "STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182831",
            "telephone_number": "402-881-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N 169TH PLZ",
            "address_2": "SUITE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182846",
            "telephone_number": "402-932-8108",
            "fax_number": "402-932-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.