✓ Licensed & Credentialed Chiropractic Providers — Chiropractor (111N00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

JEFFERY WALTER BAKER, D.C. (NPI #1497811145)

Chiropractor • KEIZER, OR • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1497811145
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
111N00000X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor
Box 32 Service Location & ZIP+4
4630 RIVER RD N, SUITE A, KEIZER, OR, 97303-4648
✓ 9-Digit EDI 837 ZIP+4 (97303-4648)
Practice Phone & Referral Fax
Fax: (503) 304-2226
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497811145 (JEFFERY WALTER BAKER, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1497811145 (NPI-1 Individual Practitioner)
Provider / Legal NameJEFFERY WALTER BAKER, D.C.
Plain-English SpecialtyLicensed & Credentialed Chiropractic Providers — Chiropractor
NUCC Code: 111N00000X (Chiropractor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address4630 RIVER RD N, SUITE A, KEIZER, OR, 97303-4648
Practice Telephone / FaxTel: (503) 304-2225 | Fax: (503) 304-2226
Administrative Mailing Address4630 RIVER RD N, KEIZER, OR, 97303-4648
Enumeration & Last SyncEnumerated: 2006-12-28 | CMS Record Updated: 2014-06-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4630 RIVER RD N, SUITE A, KEIZER, OR, 97303-4648

🗺️ Open in Google Maps 🏥 More Providers in KEIZER

Plain-English Taxonomy & CMS Crosswalk (111N00000X)

What Does Taxonomy Code 111N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111N00000X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEFFERY WALTER BAKER, D.C.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
111N00000X — Chiropractor
Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor
State: OR | License: 272556 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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