Individual provider Active NPI

Jeffrey Sean Barker, D.C., CCSP

  • Chiropractor
  • Wheatland, WY
National Provider Identifier
1184992976
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
798 Issued in WY
Practice address
1994 W. Mariposa Pkwy
Wheatland, WY 82201
Phone
(307) 331-8544
Fax
(636) 329-8977
NPI assigned
Dec 7, 2011
Reactivated
Jan 23, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010040257 MO
Chiropractor 111N00000X 798 WY Primary

Addresses

Primary practice location

1994 W. Mariposa Pkwy
Wheatland, WY 82201

Mailing address

2404 Fertis Dr.
Apt. a
Wheatland, WY 82201
Phone (970) 988-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2010040257MOMDChiropractor
798WYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1184992976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 FERTIS DR.",
            "address_2": "APT. A",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "82201",
            "telephone_number": "970-988-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 W. MARIPOSA PKWY",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "82201",
            "telephone_number": "307-331-8544",
            "fax_number": "636-329-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JEFFREY",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-01-24",
        "deactivation_date": "2016-03-16",
        "reactivation_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010040257",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.