Individual provider Active NPI

Roger Anthony Barnick, D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1952490401
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60032144 Issued in WA
Practice address
3606 Main St
Suite 205
Vancouver, WA 98663-2257
Phone
(360) 693-7781
Fax
(360) 693-1688
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60032144 WA Primary

Addresses

Primary practice location

3606 Main St
Suite 205
Vancouver, WA 98663-2257

Mailing address

3606 Main St
Suite 205
Vancouver, WA 98663-2257
Phone (360) 693-7781

Other identifiers 1

IdentifierTypeStateIssuer
G8878133OtherWAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000491 WA Practitioner - Chiropractic 1850319120 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13307 NE Hwy 99
Suite 113
Vancouver, WA 98686-3033
Phone (360) 513-2704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60032144WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barnick Chiropractic, PS Current Accepting new patients
Barnick Chiropractic PC Chiropractor PastSince Sep 2, 2004 Accepting new patients

Locations

110 S 65th Ave
Ste 121
Ridgefield, WA 98642
Phone (360) 314-2761

13307 NE Highway 99
Ste 113
Vancouver, WA 98686
Phone (360) 314-2761

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1952490401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MAIN ST",
            "address_2": "SUITE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632257",
            "telephone_number": "360-693-7781",
            "fax_number": "360-693-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MAIN ST",
            "address_2": "SUITE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632257",
            "telephone_number": "360-693-7781",
            "fax_number": "360-693-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNICK",
        "first_name": "ROGER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60032144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8878133",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.