Individual provider Active NPI

Timothy P. Barber, D.C.

  • Chiropractor
  • Forest Hills, NY
National Provider Identifier
1306931696
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008553-1 Issued in NY
Practice address
10814 72ND Ave
4TH Floor
Forest Hills, NY 11375-5350
Phone
(718) 520-8480
Fax
(718) 261-7886
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 X008553-1 NY Primary

Addresses

Primary practice location

10814 72ND Ave
4TH Floor
Forest Hills, NY 11375-5350

Mailing address

10814 72ND Ave
4TH Floor
Forest Hills, NY 11375-5350
Phone (718) 520-8480

Other identifiers 2

IdentifierTypeStateIssuer
X98191OtherNYBLUE CROSS / BLUE SHIELD
P1091453OtherNYOXFORD HEALTH PLANS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008553-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Chiropractic, P.C. Chiropractor PastSince May 1, 2011 Accepting new patients

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306931696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE",
            "address_2": "4TH FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755350",
            "telephone_number": "718-520-8480",
            "fax_number": "718-261-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE",
            "address_2": "4TH FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755350",
            "telephone_number": "718-520-8480",
            "fax_number": "718-261-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008553-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "X98191",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P1091453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.