Active NPI
Colleen Barry, DC
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1710247895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5652
- Practice address
- 4748 Chicago Ave South
Suite 20
Minneapolis, MN 55407-3515 - Phone
- (612) 730-0949
- NPI assigned
- May 22, 2012
- Sex
- Female
- 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 | 5652 | MN | Primary |
Addresses
Primary practice location
4748 Chicago Ave South
Suite 20
Minneapolis, MN 55407-3515
Mailing address
4215 15TH Ave S
Minneapolis, MN 55407-3301
Phone (612) 730-0949
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 |
|---|---|---|---|
| 5652 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1710247895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 15TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073301",
"telephone_number": "612-730-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 CHICAGO AVE SOUTH",
"address_2": "SUITE 20",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073515",
"telephone_number": "612-730-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.