Organization Active NPI

Barrett Family Chiropractic

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1144604059
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1612 Issued in MD
Legal business name
BARRETT FAMILY CHIROPRACTIC
Practice address
1724 Woodlawn Dr
Suite 7
Baltimore, MD 21207-4002
Phone
(410) 265-9911
Fax
(410) 265-9914
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Hutson
Title
Billing Manager
Phone
(301) 251-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1612 MD Primary

Addresses

Primary practice location

1724 Woodlawn Dr
Suite 7
Baltimore, MD 21207-4002

Mailing address

1724 Woodlawn Dr
Suite 7
Baltimore, MD 21207-4002
Phone (410) 265-9911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000908 MD Part B Supplier - Clinic/Group Practice 5991009219 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1724 Woodlawn Dr
Ste 7
Baltimore, MD 21207
Phone (410) 265-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1144604059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WOODLAWN DR",
            "address_2": "SUITE 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074002",
            "telephone_number": "410-265-9911",
            "fax_number": "410-265-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 WOODLAWN DR",
            "address_2": "SUITE 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074002",
            "telephone_number": "410-265-9911",
            "fax_number": "410-265-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-251-0037"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.