Active NPI
Barton Stark, D.C.
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1609270206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4062
- Practice address
- 10006 University Ave NW
Coon Rapids, MN 55448-6138 - Phone
- (763) 755-9278
- NPI assigned
- Oct 10, 2014
- Last updated
- Oct 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4062 | MN | Primary |
Addresses
Primary practice location
10006 University Ave NW
Coon Rapids, MN 55448-6138
Mailing address
10006 University Ave NW
Coon Rapids, MN 55448-6138
Phone (763) 755-9278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4062 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1609270206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10006 UNIVERSITY AVE NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554486138",
"telephone_number": "763-755-9278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10006 UNIVERSITY AVE NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554486138",
"telephone_number": "763-755-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "BARTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.