Organization Active NPI

Barnes Chiropractic

  • Chiropractor
  • Waterville, ME
National Provider Identifier
1376301291
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BARNES CHIROPRACTIC
Practice address
81 Western Ave
Waterville, ME 04901-7338
Phone
(207) 861-8221
Fax
(207) 861-7900
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Tyler Barnes, DCNPI 1205172764
Title
Chiropractor
Phone
(207) 837-4603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

81 Western Ave
Waterville, ME 04901-7338

Mailing address

81 Western Ave
Waterville, ME 04901-7338
Phone (207) 861-8221

Other identifiers 1

IdentifierTypeStateIssuer
1205172764MedicaidME

Other names 1

  • Barnes Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925001986 ME Part B Supplier - Clinic/Group Practice 4981145331 Receives reassigned benefits from 1 practitioner
Practice locations: Waterville, ME

National Provider Directory

National Provider Directory

Locations

81 Western Ave
Waterville, ME 04901
Phone (207) 861-8080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1376301291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8221",
            "fax_number": "207-861-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8221",
            "fax_number": "207-861-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "207-837-4603",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205172764",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.