NPIMap

Organization Active NPI

Barr Family Chiropractic & Sports Clinic

  • Sports Physician Chiropractor
  • White Bear Lake, MN
National Provider Identifier
1154510451
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2310 Issued in MN
Legal business name
BARR FAMILY CHIROPRACTIC & SPORTS CLINIC
Practice address
4719 Banning Ave
White Bear Lake, MN 55110-3217
Phone
(651) 429-2279
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. James Thomas Barr, D.C.
Title
President
Phone
(651) 429-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2310 MN Primary

Addresses

Primary practice location

4719 Banning Ave
White Bear Lake, MN 55110-3217

Mailing address

4719 Banning Ave
White Bear Lake, MN 55110-3217
Phone (651) 429-2279

Other identifiers 2

IdentifierTypeStateIssuer
C03521OtherMNMEDICARE GROUP NUMBER
373R0CAOtherMNBLUE CROSS BLUE SHIELD GROUP NUMBER

Other names 1

  • Barr Family Chiropractic & Sports Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4719 Banning Ave
White Bear Lk, MN 55110
Phone (651) 429-2279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1154510451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 BANNING AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103217",
            "telephone_number": "651-429-2279",
            "fax_number": "651-429-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 BANNING AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103217",
            "telephone_number": "651-429-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARR FAMILY CHIROPRACTIC & SPORTS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-429-2279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C03521",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP NUMBER",
            "identifier": "373R0CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barr Family Chiropractic & Sports Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.