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BAKER SHETTY
NPI 1104753805
Chiropractor in Renton, WA

Active since May 06, 2026
17234 140TH AVE SE, RENTON, WA 98058(425) 523-1699 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baker Shetty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAKER SHETTY (NPI 1104753805), doing business as Healthsource Chiropractic Of Renton, is a healthcare organization registered as a chiropractor in Renton, Washington and active in the NPI registry since May 2026. The organization lists Jay Michael Baker, Member, as its authorized official.

NPPES Registry Identity

NPI1104753805
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBAKER SHETTY
Location Address17234 140TH AVE SERenton, WA 98058-7014
Mailing Address17234 140th Ave SeRenton, WA 98058-7014
Phone(425) 523-1699
Organization SubpartNo
Authorized OfficialJay Michael BakerMember · (425) 523-1699
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1104753805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
17234 140TH AVE SE, Renton, WA 98058
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Other Names 1

Doing Business AsHealthsource Chiropractic Of Renton

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baker Shetty's NPI number?

The NPI number for Baker Shetty is 1104753805. It was assigned to this organization in the NPPES registry on May 6, 2026. The provider is doing business as HealthSource Chiropractic of Renton.

Where is Baker Shetty located?

Baker Shetty is located at 17234 140th Ave SE, Renton, WA 98058. The listed phone number is (425) 523-1699.

What is Baker Shetty's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Baker Shetty was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.