Active NPI
Glenn J Barney, D.C, Q.M.E.
- Sports Physician Chiropractor
- Auburn, CA
National Provider Identifier
1992802979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC21882
- Practice address
- 259 Nevada Street
Auburn, CA 95603 - Phone
- (530) 887-2150
- Fax
- (530) 887-2155
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC218820 | CA | |
| Sports Physician Chiropractor | 111NS0005X | DC21882 | CA | Primary |
Addresses
Primary practice location
259 Nevada Street
Auburn, CA 95603
Mailing address
259 Nevada St
Suite #10
Auburn, CA 95603-4617
Phone (530) 887-2150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680441279 | Other | CA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21882 | CA | MD | Clinical Social Worker |
| DC218820 | CA | MD | Chiropractor |
| DC21882 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1992802979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 NEVADA ST",
"address_2": "SUITE #10",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034617",
"telephone_number": "530-887-2150",
"fax_number": "530-887-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 NEVADA STREET",
"city": "AUBURN",
"state": "CA",
"postal_code": "95603",
"telephone_number": "530-887-2150",
"fax_number": "530-887-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNEY",
"first_name": "GLENN",
"middle_name": "J",
"credential": "D.C, Q.M.E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC218820",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC21882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "680441279",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.