Barry D. Penney, DC, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1445 Issued in AR

Legal business name

BARRY D. PENNEY, DC, INC.

Practice address

312 N 5TH St
Blytheville, AR 72315-2702

Phone

(870) 762-4796

Fax

(870) 762-5036

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry D. Penney, DCNPI 1932194081

Title

President/Owner

Phone

(870) 762-4796

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Penney Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry D Penney, D.C.

  • Chiropractor
  • Blytheville, AR
  • NPI 1932194081

  AR, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821179466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 5TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152702",
            "telephone_number": "870-762-4796",
            "fax_number": "870-762-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N 5TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152702",
            "telephone_number": "870-762-4796",
            "fax_number": "870-762-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D. PENNEY, DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "870-762-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00305651",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "5F169",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DE6379",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE/QCA",
            "identifier": "06010015700",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penney Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ascent Acquisitions Corp-PSC
• Connie Kay Ash, APRN
• Chimere A Ashley Hammett, M.D.
• Rebecca 'Brooke' Barnett, MHPP
• Barneys Inc
• Aretha A Bass, MHPP
• Michelle N Baum, OTR
• Erica D Beal
• Bianca Bell
• Cholonda Bell

• All providers in Blytheville, AR
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.