Organization Active NPI

Barrett Chiropractic Center LTD

  • Chiropractor
  • Oakdale, MN
National Provider Identifier
1205167996
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2930 Issued in MN
Legal business name
BARRETT CHIROPRACTIC CENTER LTD
Practice address
6070 50TH St N
Oakdale, MN 55128-1307
Phone
(651) 777-3611
Fax
(651) 773-5251
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Daniel Thomas Barrett, D.C.NPI 1952446668
Title
Owner
Phone
(651) 777-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2930 MN Primary

Addresses

Primary practice location

6070 50TH St N
Oakdale, MN 55128-1307

Mailing address

6070 50TH St N
Oakdale, MN 55128-1307
Phone (651) 777-3611

Other identifiers 1

IdentifierTypeStateIssuer
16Q88BAOtherMNBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000564 MN Part B Supplier - Clinic/Group Practice 9133263486 Receives reassigned benefits from 1 practitioner
Practice locations: Oakdale, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1205167996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 50TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281307",
            "telephone_number": "651-777-3611",
            "fax_number": "651-773-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 50TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281307",
            "telephone_number": "651-777-3611",
            "fax_number": "651-773-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-777-3611",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "16Q88BA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.