Ed Barker, D.C., LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

L09000021705 Issued in FL

Legal business name

ED BARKER, D.C., LLC

Practice address

430 Lake Howell Rd
Maitland, FL 32751-5907

Phone

(407) 628-1900

Fax

(407) 628-4811

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Glen Ed Barker, D.C., LLC

Title

Owner

Phone

(407) 628-1900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1174764468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-628-1900",
            "fax_number": "407-628-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-628-1900",
            "fax_number": "407-628-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED BARKER, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-628-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., LLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "L09000021705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTCAN",
            "identifier": "88342",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sareh S Dyer, MD
• Tracy Lee Earle, L.C.S.W.
• Jazmyne Deloris Eaton
• Meagan Eaves
• Teshia Denise Echols, MSW
• Michele Nicole Edison, M.D.
• Laura Edridge, ARNP
• Matthew B. Edsall, MD
• Kayla Rose Edwards
• Kimberly Funderburk Edwards, R.D.,L.D

• Chiropractor in Maitland, FL
• Providers in Maitland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.