Organization Active NPI

Barker Family Chiropractic, PA

  • Primary Care Clinic/Center
  • Monticello, MN
National Provider Identifier
1407133051
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5537 Issued in MN
Legal business name
BARKER FAMILY CHIROPRACTIC, PA
Practice address
219 W Broadway
Suite 100
Monticello, MN 55362
Phone
(763) 314-0707
NPI assigned
Nov 10, 2011
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Bennett Michael BarkerNPI 1154618676
Title
Owner/Chiropractor
Phone
(763) 314-0707

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
Primary Care Clinic/Center 261QP2300X 5537 MN Primary

Addresses

Primary practice location

219 W Broadway
Suite 100
Monticello, MN 55362

Mailing address

PO Box 1662
Monticello, MN 55362-1662
Phone (763) 314-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111222000256 MN Part B Supplier - Clinic/Group Practice 8325214372 Receives reassigned benefits from 1 practitioner
Practice locations: Monticello, MN
O20150421002668 ND Part B Supplier - Clinic/Group Practice 8325214372 Receives reassigned benefits from 1 practitioner
Practice locations: Hankinson, ND

National Provider Directory

National Provider Directory

Locations

219 W Broadway St
Unit 100
Monticello, MN 55362
Phone (763) 314-0707

530 Walnut St
Monticello, MN 55362
Phone (763) 200-0836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1407133051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553621662",
            "telephone_number": "763-314-0707",
            "fax_number": "763-314-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W BROADWAY",
            "address_2": "SUITE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "763-314-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARKER FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-314-0707"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.