Organization Active NPI

Amesbarry Chiropractic PSC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1689775181
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002869 Issued in MN
Legal business name
AMESBARRY CHIROPRACTIC PSC
Practice address
2500 County Road 42 W Ste 4
Burnsville, MN 55337-6945
Phone
(952) 894-9888
Fax
(952) 894-2154
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Kris Huber, D.C.NPI 1407957525
Title
President/Ceo
Phone
(952) 894-9888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 002323 MN
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 002869 MN Primary

Addresses

Primary practice location

2500 County Road 42 W Ste 4
Burnsville, MN 55337-6945

Mailing address

2500 County Road 42 W Ste 4
Burnsville, MN 55337-6945
Phone (952) 894-9888

Other identifiers 2

IdentifierTypeStateIssuer
23907HUOtherMNBCBS
718315100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105000801 MN Part B Supplier - Clinic/Group Practice 8527253327 Receives reassigned benefits from 2 practitioners
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

2500 County Road 42 W
Ste 4
Burnsville, MN 55337
Phone (952) 894-9888

Practitioners & affiliated clinicians

Practitioners 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1689775181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 COUNTY ROAD 42 W STE 4",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376945",
            "telephone_number": "952-894-9888",
            "fax_number": "952-894-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COUNTY ROAD 42 W STE 4",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376945",
            "telephone_number": "952-894-9888",
            "fax_number": "952-894-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMESBARRY CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-894-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "002323",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "002869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23907HU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718315100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.