Organization Active NPI

Barkley Chiropractic, PS

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1972583136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034542 Issued in WA
Legal business name
BARKLEY CHIROPRACTIC, PS
Practice address
3410 Woburn St
Suite 202
Bellingham, WA 98226-5643
Phone
(360) 752-0061
Fax
(360) 752-3199
NPI assigned
Jan 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kelly David Arnold, D.C.NPI 1174697791
Title
President
Phone
(360) 752-0061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034542 WA Primary

Addresses

Primary practice location

3410 Woburn St
Suite 202
Bellingham, WA 98226-5643

Mailing address

3410 Woburn St
Suite 202
Bellingham, WA 98226-5643
Phone (360) 752-0061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060418000096 WA Part B Supplier - Clinic/Group Practice 4183633308 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1151 Ellis St
Ste 104
Bellingham, WA 98225
Phone (360) 752-0061

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972583136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WOBURN ST",
            "address_2": "SUITE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265643",
            "telephone_number": "360-752-0061",
            "fax_number": "360-752-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WOBURN ST",
            "address_2": "SUITE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265643",
            "telephone_number": "360-752-0061",
            "fax_number": "360-752-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARKLEY CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-752-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.