Active NPI
Joshua Adam Barnewolt, DC
- Chiropractor
- Edwards, IL
National Provider Identifier
1871820902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011547
- Practice address
- 7814 N Kickapoo Edwards Rd
Suite a
Edwards, IL 61528-9564 - Phone
- (309) 691-6920
- Fax
- (309) 691-6921
- NPI assigned
- Nov 10, 2009
- Last updated
- Mar 16, 2010
- 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 | 038011547 | IL | Primary |
Addresses
Primary practice location
7814 N Kickapoo Edwards Rd
Suite a
Edwards, IL 61528-9564
Mailing address
PO Box 54
Edwards, IL 61528-0054
Phone (309) 691-6920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7232266 | Other | IL | GROUP BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9927 W Route 150
Edwards, IL 61528-0054
Phone (309) 688-7817
PO Box
Suite 54
Edwards, IL 61528-0054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011547 | IL | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Edwards, IL
- NPI 1730417650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1871820902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "EDWARDS",
"state": "IL",
"postal_code": "615280054",
"telephone_number": "309-691-6920",
"fax_number": "309-691-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7814 N KICKAPOO EDWARDS RD",
"address_2": "SUITE A",
"city": "EDWARDS",
"state": "IL",
"postal_code": "615289564",
"telephone_number": "309-691-6920",
"fax_number": "309-691-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNEWOLT",
"first_name": "JOSHUA",
"middle_name": "ADAM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-10",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS OF IL",
"identifier": "7232266",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edwards, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.