Provider Demographics
NPI:1841384294
Name:BARTON, DAVID ANTHONY (D,C,)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:BARTON
Suffix:
Gender:M
Credentials:D,C,
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:ANTHONY
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1251 MONUMENT BLVD. STE 140
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4450
Mailing Address - Country:US
Mailing Address - Phone:925-685-2002
Mailing Address - Fax:925-685-2005
Practice Address - Street 1:1251 MONUMENT BLVD. STE 140
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4450
Practice Address - Country:US
Practice Address - Phone:925-685-2002
Practice Address - Fax:925-685-2005
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0183210Medicare PIN