Active NPI
Thomas G. Barba, D.C., CCSP
- Nutrition Chiropractor
- Lewiston, NY
National Provider Identifier
1295058170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X005933-1
- Practice address
- 435 Ridge St
Lewiston, NY 14092-1205 - Phone
- (716) 754-9039
- Fax
- (716) 754-9064
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X005933-1 | NY | Primary |
| Sports Physician Chiropractor | 111NS0005X | X005933-1 | NY |
Addresses
Primary practice location
435 Ridge St
Lewiston, NY 14092-1205
Mailing address
435 Ridge St
Lewiston, NY 14092-1205
Phone (716) 754-9039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000289 | NY | Practitioner - Chiropractic | 5890970388 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
435 Ridge St
Lewiston, NY 14092-1205
Phone (716) 754-9039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005933-1 | NY | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Chiropractic, P.C. | Current | Accepting new patients |
Locations
435 Ridge St
Lewiston, NY 14092
Phone (716) 754-9039
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": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1295058170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 RIDGE ST",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921205",
"telephone_number": "716-754-9039",
"fax_number": "716-754-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 RIDGE ST",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921205",
"telephone_number": "716-754-9039",
"fax_number": "716-754-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBA",
"first_name": "THOMAS",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.C., CCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X005933-1",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X005933-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.