Individual provider Active NPI

James Robert Barrett, D.C.

  • Chiropractor
  • Benton, KY
National Provider Identifier
1003997974
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4497 Issued in KY
Practice address
3002 US Highway 641 N
Benton, KY 42025-7464
Phone
(270) 527-7033
Fax
(270) 527-6826
NPI assigned
Oct 18, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4497 KY Primary

Addresses

Primary practice location

3002 US Highway 641 N
Benton, KY 42025-7464

Mailing address

3002 US Highway 641 N
Benton, KY 42025-7464
Phone (270) 527-7033

Other identifiers 1

IdentifierTypeStateIssuer
85001105MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000757 KY Practitioner - Chiropractic 2163442328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3002 US Hwy 641 N
Benton, KY 42025-7464
Phone (270) 527-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4497KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Chiropractic Center, Inc. Chiropractor CurrentSince Jan 28, 2002 Accepting new patients

Locations

3002 US Highway 641 N
Benton, KY 42025
Phone (270) 527-6826

Networks

  • TN PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • TN PPO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1003997974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 US HIGHWAY 641 N",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257464",
            "telephone_number": "270-527-7033",
            "fax_number": "270-527-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 US HIGHWAY 641 N",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257464",
            "telephone_number": "270-527-7033",
            "fax_number": "270-527-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001105",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.