Active NPI
Mark Robert Barrett, D.C.
- Chiropractor
- Rancho Cucamonga, CA
National Provider Identifier
1437228988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17001
- Practice address
- 9033 Baseline Rd Ste Q
Rancho Cucamonga, CA 91730-1215 - Phone
- (909) 945-8721
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17001 | CA | Primary |
Addresses
Primary practice location
9033 Baseline Rd Ste Q
Rancho Cucamonga, CA 91730-1215
Mailing address
6648 Vanderbilt PL
Alta Loma, CA 91701-7785
Phone (909) 989-8382
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth Myers Chiropractic Corporation | Chiropractor | Past | 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.
-
- Chiropractor
- Rancho Cucamonga, CA
- NPI 1467751966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437228988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6648 VANDERBILT PL",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917017785",
"telephone_number": "909-989-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 BASELINE RD STE Q",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301215",
"telephone_number": "909-945-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.