Individual provider Active NPI

Nicklaus Micah Barnes, D.C.

  • Chiropractor
  • Elmira, NY
National Provider Identifier
1437423555
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012338-1 Issued in NY
Practice address
460 E Church St
Elmira, NY 14901-2832
Phone
(607) 733-3235
Fax
(607) 733-4036
NPI assigned
Mar 7, 2012
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012338-1 NY Primary

Addresses

Primary practice location

460 E Church St
Elmira, NY 14901-2832

Mailing address

460 E Church St
Elmira, NY 14901-2832
Phone (607) 733-3235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227002283 SC Practitioner - Chiropractic 5294997706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Chiropractic AssociatesGroup PAC ID 3678812153, 2 clinicians

Practice addresses (Care Compare)

903 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7194
Phone (843) 225-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012338-1NYMDChiropractor
4317SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Chiropractic Associates Chiropractor CurrentSince Dec 26, 2018 Accepting new patients
Barnes Chiropractic, PLLC Chiropractor PastSince Apr 2, 2012 Accepting new patients
Michael Cilip Jr Past Accepting new patients
Hapeman Rodriguez Chiropractic, PC Chiropractor PastSince Sep 28, 2001 Accepting new patients
Twin Hills Chiropractic Health Center, P.C. Chiropractor PastSince Apr 1, 2005 Accepting new patients

Locations

903 Saint Andrews Blvd
Ste B
Charleston, SC 29407
Phone (843) 225-4357

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1437423555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012832",
            "telephone_number": "607-733-3235",
            "fax_number": "607-733-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012832",
            "telephone_number": "607-733-3235",
            "fax_number": "607-733-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "NICKLAUS",
        "middle_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.