Active NPI
Kenneth Glyde Barnes Jr., D.C.
- Chiropractor
- Greenville, NC
National Provider Identifier
1811925076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3189
- Practice address
- 105 Eastbrook Dr
Greenville, NC 27858-4216 - Phone
- (252) 754-2225
- Fax
- (252) 758-2251
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085UC | Medicaid | NC | |
| 085UC | Other | NC | BLUE CROSS BLUE SHIELD ST |
| 5680040001 | Other | NC | MEDICARE ID |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1811925076",
"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": {
"last_name": "BARNES",
"first_name": "KENNETH",
"middle_name": "GLYDE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085UC",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ST",
"identifier": "085UC",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "5680040001",
"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.