Baird Chiropractic Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1670 Issued in NC

Legal business name

BAIRD CHIROPRACTIC INC

Practice address

320 N Judd Pkwy NE
Ste 102
Fuquay Varina, NC 27526-2624

Phone

(919) 557-5811

Fax

(919) 557-8236

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Smithyman Baird, DC CCSP

Title

President

Phone

(919) 557-5811

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1992875298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N JUDD PKWY NE",
            "address_2": "STE 102",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262624",
            "telephone_number": "919-557-5811",
            "fax_number": "919-557-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N JUDD PKWY NE",
            "address_2": "STE 102",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262624",
            "telephone_number": "919-557-5811",
            "fax_number": "919-557-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SMITHYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-557-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1670",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1670",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "1670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6320398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0809A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "330573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Babits, LCSW
• Tammy Baccus, PTA, DOR
• Back in Action Inc (Back in Action Physical Therapy)
• Odette Berinyuy Bagob, RN
• Donald Lee Bailey Jr., D.D.S.
• Bonnie Smithyman Baird, DC CCSP
• Jessica Baker
• Nicole Andra Baker, LCMHC
• Tammi Jean Baldisserotto, OTR/L
• James Bruce Baldwin, OD

• Sports Physician Chiropractor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.