Active NPI
Matthew James Barton, D.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1104977313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007668
- Practice address
- 1122 Leonard St NE
Grand Rapids, MI 49503-1234 - Phone
- (616) 459-8552
- Fax
- (616) 459-8562
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007668 | MI | Primary |
Addresses
Primary practice location
1122 Leonard St NE
Grand Rapids, MI 49503-1234
Mailing address
1122 Leonard St NE
Grand Rapids, MI 49503-1234
Phone (616) 459-8552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D17681 | Other | MI | BCBSM |
| 3469331 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928001688 | MI | Practitioner - Chiropractic | 3577601905 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barton Chiropractic Office P.C.
Practice addresses (Care Compare)
1122 Leonard St NE
Grand Rapids, MI 49503-1234
Phone (616) 459-8552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007668 | MI | MD | Chiropractor |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1104977313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031234",
"telephone_number": "616-459-8552",
"fax_number": "616-459-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031234",
"telephone_number": "616-459-8552",
"fax_number": "616-459-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTON",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "007668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "950D17681",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3469331",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.