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
- Title
- Owner
- Phone
- (606) 831-4432
Practitioners 3
-
Jeremiah Holmes, DC
-
Tyler D Simmons, D.C.
-
Douglas J Breger, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85900280 | Medicaid | KY |
Other names
- Core Health Centers of Winchester
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.