Individual provider Active NPI

Justin Barnwell

  • Chiropractor
  • Katy, TX
National Provider Identifier
1548628258
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13109 Issued in TX
Practice address
24124 Cinco Village Center Blvd Ste 300
Katy, TX 77494-3703
Phone
(281) 574-5539
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 13109 TX Primary

Addresses

Primary practice location

24124 Cinco Village Center Blvd Ste 300
Katy, TX 77494-3703

Mailing address

24124 Cinco Village Center Blvd Ste 300
Katy, TX 77494-3703
Phone (281) 574-5539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406000518 TX Practitioner - Chiropractic 9830528322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2770 FM 1463 Rd
Suite 101B
Katy, TX 77494-7968
Phone (346) 257-4179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13109TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Regenerative Medicine PLLC Chiropractor CurrentSince Mar 18, 2019 Accepting new patients

Locations

2770 FM 1463 Rd
Ste 10
Katy, TX 77494
Phone (346) 257-4179

2770 FM 1463 Rd
Ste 101B
Katy, TX 77494
Phone (346) 257-4179

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1548628258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24124 CINCO VILLAGE CENTER BLVD STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943703",
            "telephone_number": "281-574-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24124 CINCO VILLAGE CENTER BLVD STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943703",
            "telephone_number": "281-574-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNWELL",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.