Individual provider Active NPI

Alan Barnes, DC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1730127291
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHAI1121 Issued in ID
Practice address
10062 W Fairview Ave Ste 110
Boise, ID 83704-8120
Phone
(208) 856-0048
Fax
(877) 991-7410
NPI assigned
Jun 4, 2006
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHAI1121 ID Primary

Addresses

Primary practice location

10062 W Fairview Ave Ste 110
Boise, ID 83704-8120

Mailing address

10062 W Fairview Ave Ste 110
Boise, ID 83704-8120
Phone (208) 856-0048

Other practice location 1

204 10th Ave S
Nampa, ID 83651-3832
Phone (208) 461-6523

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbarnes@21stchiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000042 ID Practitioner - Chiropractic 4789604034 Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10062 W Fairview Ave
Suite 110
Boise, ID 83704-8120
Phone (208) 856-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHAI1121IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Price Chiropractic Center Chartered PastSince Jul 16, 2019 Accepting new patients
Chandler Chiropractic PA Chiropractor Past Accepting new patients
Chiropractic Difference, PA Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1730127291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10062 W FAIRVIEW AVE STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048120",
            "telephone_number": "208-856-0048",
            "fax_number": "877-991-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10062 W FAIRVIEW AVE STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048120",
            "telephone_number": "208-856-0048",
            "fax_number": "877-991-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 10th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513832",
            "country_code": "US",
            "telephone_number": "208-461-6523",
            "fax_number": "208-461-9130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "ALAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHAI1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbarnes@21stchiro.com",
            "affiliation": "N",
            "address_1": "10062 W Fairview Ave Ste 110",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.