Rodney L Barnes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2578012 Issued in WI

Practice address

1026 Horicon St
Mayville, WI 53050-1429

Phone

(920) 387-1111

Fax

(920) 387-3187

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891894556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501429",
            "telephone_number": "920-387-1111",
            "fax_number": "920-387-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501429",
            "telephone_number": "920-387-1111",
            "fax_number": "920-387-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "RODNEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2578012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38922400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI ID#",
            "identifier": "579149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon T Archambo, MSN, FNP, APNP
• Aria of Mayville LLC
• Aurora Advanced Healthcare, Inc.
• Aurora Medical Group, Inc.
• Back in Action Rehabilitation, S.C.
• Michael Alexander Baumhardt
• Christina M Beske
• Karen Lea Bodden, PT
• Rebecca Brath, LPC
• Mark Christian Brieman, D.D.S.

• Chiropractor in Mayville, WI
• Providers in Mayville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.