Organization Active NPI

Barnes Family Chiropractic Clinic Inc

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1487855656
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7935 Issued in FL
Legal business name
BARNES FAMILY CHIROPRACTIC CLINIC INC
Practice address
4302 Del Prado Blvd S
Cape Coral, FL 33904-7169
Phone
(239) 541-3434
Fax
(239) 541-2555
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. William Morgan Barnes, DCNPI 1598730012
Title
Owner
Phone
(239) 541-3434

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 CH7935 FL Primary

Addresses

Primary practice location

4302 Del Prado Blvd S
Cape Coral, FL 33904-7169

Mailing address

4302 Del Prado Blvd S
Cape Coral, FL 33904-7169
Phone (239) 541-3434

Other identifiers 1

IdentifierTypeStateIssuer
381799700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090813000366 FL Part B Supplier - Clinic/Group Practice 8325192149 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

4302 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 541-3434

Practitioners & affiliated clinicians

Practitioners 3

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1487855656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-541-3434",
            "fax_number": "239-541-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-541-3434",
            "fax_number": "239-541-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES FAMILY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-541-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381799700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.