Individual provider Active NPI

Donald Arthur Barry, D.C.

  • Chiropractor
  • Menifee, CA
National Provider Identifier
1851694012
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22582 Issued in CA
Practice address
26900 Newport Rd Ste 110
Menifee, CA 92584-9224
Phone
(951) 672-8060
Fax
(951) 672-7490
NPI assigned
Dec 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8123653-1202 UT
Chiropractor 111N00000X DC22582 CA Primary

Addresses

Primary practice location

26900 Newport Rd Ste 110
Menifee, CA 92584-9224

Mailing address

23050 Skylink Dr
Canyon Lake, CA 92587-8951
Phone (951) 415-9033

Other practice location 1

141 E 5600 S
Suite 204
Murray, UT 84107-6180
Phone (801) 262-3118

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

State licenses

LicenseStateTypeSpecialty
8123653-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Chiropractic, Inc. Chiropractor Past Accepting new patients
Utah Spine and Disc Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1851694012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 SKYLINK DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925878951",
            "telephone_number": "951-415-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 NEWPORT RD STE 110",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849224",
            "telephone_number": "951-672-8060",
            "fax_number": "951-672-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E 5600 S",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076180",
            "country_code": "US",
            "telephone_number": "801-262-3118",
            "fax_number": "801-262-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "DONALD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8123653-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.