Individual provider Active NPI

Gary Barrow, DC

  • Chiropractor
  • Fort Irwin, CA
National Provider Identifier
1003384629
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1576 Issued in ID
Practice address
390 Outerloop Rd
Fort Irwin, CA 92310
Phone
(760) 383-5370
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1576 ID Primary

Addresses

Primary practice location

390 Outerloop Rd
Fort Irwin, CA 92310

Mailing address

12425 Deborah Dr
Victorville, CA 92392-4862
Phone (714) 814-7060

Other practice location 1

12425 Deborah Dr
Victorville, CA 92392-4862
Phone (714) 814-7060

Other identifiers 1

IdentifierTypeStateIssuer
CHIA-1576OtherIDLICENSES NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1576IDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1003384629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 DEBORAH DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924862",
            "telephone_number": "714-814-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OUTERLOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-383-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12425 Deborah Dr",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923924862",
            "country_code": "US",
            "telephone_number": "714-814-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARROW",
        "first_name": "GARY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES NUMBER",
            "identifier": "CHIA-1576",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.