Active NPI
Barneveld Family Chiropractic, LLC
- Chiropractor
- Barneveld, WI
National Provider Identifier
1578801585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3813-12
- Legal business name
- BARNEVELD FAMILY CHIROPRACTIC, LLC
- Practice address
- 101 S Jones St
Barneveld, WI 53507-9801 - Phone
- (608) 924-2424
- Fax
- (608) 924-2425
- NPI assigned
- Jan 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Ann Horsfall, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (608) 924-2424
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3813-12 | WI | Primary |
Addresses
Primary practice location
101 S Jones St
Barneveld, WI 53507-9801
Mailing address
101 S Jones St
Barneveld, WI 53507-9801
Phone (608) 924-2424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35481 | Medicaid | WI | |
| WI3042 | Other | WI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 S Jones St
Barneveld, WI 53507
Phone (608) 279-7837
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Barneveld, WI
- NPI 1407885767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376524800000",
"number": "1578801585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S JONES ST",
"city": "BARNEVELD",
"state": "WI",
"postal_code": "535079801",
"telephone_number": "608-924-2424",
"fax_number": "608-924-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S JONES ST",
"city": "BARNEVELD",
"state": "WI",
"postal_code": "535079801",
"telephone_number": "608-924-2424",
"fax_number": "608-924-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNEVELD FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-25",
"last_updated": "2013-08-15",
"status": "A",
"authorized_official_last_name": "HORSFALL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "608-924-2424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3813-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35481",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WI3042",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barneveld, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.