Individual provider Active NPI

Ryan D Barker

  • Chiropractor
  • Oswego, NY
National Provider Identifier
1912239302
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011970 Issued in NY
Practice address
113 W Albany St
Oswego, NY 13126-2410
Phone
(315) 326-0440
Fax
(315) 291-8062
NPI assigned
Feb 9, 2010
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 011970 NY
Chiropractor 111N00000X 011970 NY Primary

Addresses

Primary practice location

113 W Albany St
Oswego, NY 13126-2410

Mailing address

113 W Albany St
Oswego, NY 13126-2410
Phone (315) 326-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000039 NY Practitioner - Chiropractic 5395924732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 W Albany St
Oswego, NY 13126-2410
Phone (315) 326-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011970NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chase E. Izyk, DC PC Chiropractor CurrentSince Feb 21, 2021 Accepting new patients
Ryan D Barker DC PC Chiropractor CurrentSince Dec 15, 2020 Accepting new patients
Anthony V. Licatese , DC, P.C. Chiropractor CurrentSince Sep 24, 2012 Accepting new patients
Goshorn Chiropractic P.C. Chiropractor PastSince Mar 31, 2000 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Locations

113 W Albany St
Oswego, NY 13126
Phone (315) 326-0440

55 E Bridge St
Oswego, NY 13126
Phone (315) 342-6300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1912239302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ALBANY ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262410",
            "telephone_number": "315-326-0440",
            "fax_number": "315-291-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ALBANY ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262410",
            "telephone_number": "315-326-0440",
            "fax_number": "315-291-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "RYAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "011970",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.