Beavercreek Chiropractic & Injury Treatment Ctr., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2227 Issued in OH

Legal business name

BEAVERCREEK CHIROPRACTIC & INJURY TREATMENT CTR., INC.

Practice address

3060 Dayton Xenia Rd
Suite a
Beavercreek, OH 45434-6308

Phone

(937) 427-2225

Fax

(937) 431-1722

NPI assigned

Oct 6, 2006

Last updated

Nov 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Black

Title

Office Manager

Phone

(937) 427-2225

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1013004514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DAYTON XENIA RD",
            "address_2": "SUITE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346308",
            "telephone_number": "937-427-2225",
            "fax_number": "937-431-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DAYTON XENIA RD",
            "address_2": "SUITE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346308",
            "telephone_number": "937-427-2225",
            "fax_number": "937-431-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK CHIROPRACTIC & INJURY TREATMENT CTR., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-427-2225"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2227",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred-John Balbuena Bayaton, DO
• Be the Light Enterprises LLC
• Kelly Christine Beasley, DPT
• Ryan Michael Beauchamp, PHARMD
• Beautifully Aligned Wellness, LLC
• Beavercreek Chiropractic Clinic Inc
• Beavercreek City School District
• Beavercreek Dental Care Inc (Mitakides DDS)
• Beavercreek Dermatology LLC
• Beavercreek Endodontics- Emily Lammers DDS Ms Inc.

• Chiropractor in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.