Barnes Family Chiropractic Inc

Organization Active NPI Chiropractor · Winchester, KY

NPI 1104046028 · NPPES record last updated Mar 8, 2024

Key facts

NPI
1104046028
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
3632-R (KY)
Legal business name
BARNES FAMILY CHIROPRACTIC INC
Practice address
29 Canary LN
Winchester, KY 40391-1645
Phone
(606) 831-4432
Fax
(859) 744-7319
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

Name
Jeremiah Holmes, DC NPI 1689771081
Title
Owner
Phone
(606) 831-4432

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051026001007 KY Part B Supplier - Clinic/Group Practice 3173540416 Receives reassigned benefits from 3 practitioners
Practice locations: Winchester, KY

National Provider Directory

Locations

140 Redwing Dr
Winchester, KY 40391
Phone (859) 744-7319

29 Canary Ln
Winchester, KY 40391
Phone (859) 744-7319

108 Winchester Plz
Winchester, KY 40391
Phone (606) 744-7319

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 3632-R KY Yes

Addresses

Primary practice location

29 Canary LN
Winchester, KY 40391-1645

Mailing address

29 Canary LN
Winchester, KY 40391-1645
Phone (606) 831-4432

Other practice location 1

140 Redwing Dr
Winchester, KY 40391-1188
Phone (606) 831-4432

Other identifiers

IdentifierTypeStateIssuer
85900280MedicaidKY

Other names

  • Core Health Centers of Winchester Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2024.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1104046028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CANARY LN",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911645",
            "telephone_number": "606-831-4432",
            "fax_number": "859-744-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CANARY LN",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911645",
            "telephone_number": "606-831-4432",
            "fax_number": "859-744-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 REDWING DR",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911188",
            "country_code": "US",
            "telephone_number": "606-831-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARNES FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-831-4432",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3632-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Health Centers of Winchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Health Centers of Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

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Sources for this page

Verify at the official NPI Registry.