Barth Family Chiropractic, P.C.
Organization Active NPI Chiropractor · Sioux City, IA
NPI 1346696366 · NPPES record last updated May 9, 2016
Key facts
- NPI
- 1346696366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 081165 (IA)
- Legal business name
- BARTH FAMILY CHIROPRACTIC, P.C.
- Practice address
- 3539 Southern Hills Dr
Sioux City, IA 51106-4738 - Phone
- (712) 274-3353
- Fax
- (712) 522-1975
- NPI assigned
- May 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerad Barth, D.C
- Title
- Owner
- Phone
- (712) 635-1822
Practitioners 1
-
Jerad Barth, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160617001776 | IA | Part B Supplier - Clinic/Group Practice | 2961793153 |
Receives reassigned benefits from 1 practitioner Practice locations: Sioux City, IA |
National Provider Directory
Locations
3539 Southern Hills Dr
Ste 4
Sioux City, IA 51106
3539 Southern Hills Dr
Sioux City, IA 51106
Phone (712) 274-3353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 081165 | IA | Yes |
Addresses
Primary practice location
3539 Southern Hills Dr
Sioux City, IA 51106-4738
Mailing address
3539 Southern Hills Dr
Sioux City, IA 51106-4738
Phone (712) 274-3353
Other names
- Barth Family Chiropractic
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.