Individual provider Active NPI

Thomas G. Barba, D.C., CCSP

  • Nutrition Chiropractor
  • Lewiston, NY
National Provider Identifier
1295058170
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X005933-1 Issued in NY
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

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
Rose Chiropractic, P.C.Group PAC ID 4688859093, 2 clinicians

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

LicenseStateTypeSpecialty
X005933-1NYMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Chiropractic, P.C. CurrentSince Dec 15, 2010 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.

Verify at the official NPI Registry.