Individual provider Active NPI

Barney Justin Roca, D.C.

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1114227022
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60181117 Issued in WA
Practice address
436 W Bakerview Rd
Suite 102
Bellingham, WA 98226-8177
Phone
(360) 510-6000
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 CH60181117 WA Primary

Addresses

Primary practice location

436 W Bakerview Rd
Suite 102
Bellingham, WA 98226-8177

Mailing address

436 W Bakerview Rd
Suite 102
Bellingham, WA 98226-8177
Phone (360) 510-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024000176 WA Practitioner - Chiropractic 0840452058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Plains Chiropractic, PS Chiropractor CurrentSince Sep 7, 2025 Accepting new patients
Eric Dudenhofer Arnp PS CurrentSince Sep 7, 2025 Accepting new patients

Locations

12727 W 14th Ave
Airway Hgts, WA 99001
Phone (509) 244-4818

Organizations & group practices 2

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1114227022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W BAKERVIEW RD",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268177",
            "telephone_number": "360-510-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W BAKERVIEW RD",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268177",
            "telephone_number": "360-510-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "BARNEY",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60181117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.