Individual provider Active NPI

Barry A Klein, D.C.

  • Chiropractor
  • Dalton, GA
National Provider Identifier
1285715706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005987 Issued in GA
Practice address
2514 E Walnut Ave
Suite 10
Dalton, GA 30721-8785
Phone
(706) 277-3770
Fax
(706) 277-3772
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005987 GA Primary

Addresses

Primary practice location

2514 E Walnut Ave
Suite 10
Dalton, GA 30721-8785

Mailing address

2514 E Walnut Ave
Suite 10
Dalton, GA 30721-8785
Phone (706) 277-3770

Other identifiers 1

IdentifierTypeStateIssuer
35ZCFNFMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000180 GA Practitioner - Chiropractic 8123197670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2514 E Walnut Ave
Dalton, GA 30721-8785
Phone (706) 277-3770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Family Chiropractic Chiropractor CurrentSince Apr 12, 1999 Accepting new patients

Locations

2514 E Walnut Ave
Ste 10
Dalton, GA 30721
Phone (706) 277-3770

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285715706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 E WALNUT AVE",
            "address_2": "SUITE 10",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218785",
            "telephone_number": "706-277-3770",
            "fax_number": "706-277-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 E WALNUT AVE",
            "address_2": "SUITE 10",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218785",
            "telephone_number": "706-277-3770",
            "fax_number": "706-277-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35ZCFNF",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.