Organization Active NPI

Barnes Family Chiropractic P.a.

  • Chiropractor
  • Greenville, NC
National Provider Identifier
1619040904
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3189 Issued in NC
Legal business name
BARNES FAMILY CHIROPRACTIC P.A.
Practice address
105 Eastbrook Dr
Greenville, NC 27858-4216
Phone
(252) 754-2225
Fax
(252) 758-2251
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Kenneth Glyde Barnes Jr., D.C.
Title
Owner
Phone
(252) 754-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3189 NC Primary

Addresses

Primary practice location

105 Eastbrook Dr
Greenville, NC 27858-4216

Mailing address

105 Eastbrook Dr
Greenville, NC 27858-4216
Phone (252) 754-2225

Other identifiers 1

IdentifierTypeStateIssuer
1811925076OtherNCPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

105 Eastbrook Dr
Greenville, NC 27858
Phone (252) 754-2225

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1619040904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EASTBROOK DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584216",
            "telephone_number": "252-754-2225",
            "fax_number": "252-758-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EASTBROOK DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584216",
            "telephone_number": "252-754-2225",
            "fax_number": "252-758-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES FAMILY CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-754-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1811925076",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.