Organization Active NPI

Barneveld Family Chiropractic, LLC

  • Chiropractor
  • Barneveld, WI
National Provider Identifier
1578801585
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3813-12 Issued in WI
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

Updated by the provider on Aug 15, 2013

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.NPI 1407885767
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
35481MedicaidWI
WI3042OtherWIMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000194 WI Part B Supplier - Clinic/Group Practice 9537306592 Receives reassigned benefits from 1 practitioner
Practice locations: Barneveld, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.