Active NPI
Barry D. Penney, DC, Inc.
Doing business as Penney Chiropractic Clinic
- Chiropractor
- Blytheville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1445
- Legal business name
- BARRY D. PENNEY, DC, INC.
- Doing business as
- Penney Chiropractic Clinic
- Practice address
- 312 N 5TH St
Blytheville, AR 72315-2702 - Phone
- (870) 762-4796
- Fax
- (870) 762-5036
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry D. Penney, DC
- Title
- President/Owner
- Phone
- (870) 762-4796
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1445 | AR | Primary |
Addresses
Primary practice location
312 N 5TH St
Blytheville, AR 72315-2702
Mailing address
312 N 5TH St
Blytheville, AR 72315-2702
Phone (870) 762-4796
Other names 1
- Penney Chiropractic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
312 N 5th St
Blytheville, AR 72315
Phone (870) 762-4796
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Blytheville, AR
- NPI 1932194081
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Penney Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blytheville, AR
Sources for this page
- 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.