Active NPI
Frederick a Barks, Jr
- Nutrition Chiropractor
- Putnam, CT
National Provider Identifier
1114113545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 001391
- Legal business name
- FREDERICK A BARKS, JR
- Practice address
- 245 School St
Putnam, CT 06260-1621 - Phone
- (860) 928-7729
- Fax
- (860) 928-0593
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick A Barks Jr., D.C.
- Title
- Owner
- Phone
- (860) 928-7729
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 001391 | CT | Primary |
Addresses
Primary practice location
245 School St
Putnam, CT 06260-1621
Mailing address
245 School St
Putnam, CT 06260-1621
Phone (860) 928-7729
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3823400 | Other | CT | AETNA |
| C03295 | Other | CT | MEDICARE GROUP ID |
| 050001391CT02 | Other | CT | BCBS OF CT |
| 2V5130 | Other | CT | HEALTHNET |
| 412398 | Other | RI | BLUE CHIP OF RI |
| 010391 | Other | CT | CONNECTICARE |
| AA32943 | Other | MA | HARVARD PILGRIM |
| P00217640 | Other | CT | MEDICARE ID - RAILROAD ME |
| 1030756 | Other | CT | ASHN |
| P2686322 | Other | CT | OXFORD |
| 29336-1 | Other | RI | BCBS OF RI |
| 4404611 | Other | CT | UNITED HEALTHCARE |
| 06985925002 | Other | CT | CIGNA |
Other names 1
- Putnam Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
245 School St
Putnam, CT 06260
Phone (860) 928-7729
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Chiropractor
- Putnam, CT
- NPI 1609877604
-
- Chiropractor
- Putnam, CT
- NPI 1972524726
-
- Chiropractor
- Plainfield, CT
- NPI 1366593295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1114113545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SCHOOL ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601621",
"telephone_number": "860-928-7729",
"fax_number": "860-928-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 SCHOOL ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601621",
"telephone_number": "860-928-7729",
"fax_number": "860-928-0593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICK A BARKS, JR",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "BARKS",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-928-7729",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "CT",
"license": "001391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3823400",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "C03295",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF CT",
"identifier": "050001391CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V5130",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP OF RI",
"identifier": "412398",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "010391",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA32943",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - RAILROAD ME",
"identifier": "P00217640",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1030756",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2686322",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "29336-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4404611",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "06985925002",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Putnam Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.