Active NPI
Darrell Scott Beauvais, DC
- Chiropractor
- Valparaiso, IN
National Provider Identifier
1023062015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002084A
- Practice address
- 265 Morthland Dr Ste E
Valparaiso, IN 46383-6205 - Phone
- (219) 615-3178
- Fax
- (219) 615-3187
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002084A | IN | Primary |
Addresses
Primary practice location
265 Morthland Dr Ste E
Valparaiso, IN 46383-6205
Mailing address
265 Morthland Dr Ste E
Valparaiso, IN 46383-6205
Phone (219) 615-3178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300084683 | Medicaid | IN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002084A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper County Chiropractic, Inc. | Single Specialty | Past | Accepting new patients |
| Chula Vista Professional Corporation | Chiropractor | Past | Accepting new patients |
| Life Aligned Wellness Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1023062015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 MORTHLAND DR STE E",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836205",
"telephone_number": "219-615-3178",
"fax_number": "219-615-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 MORTHLAND DR STE E",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836205",
"telephone_number": "219-615-3178",
"fax_number": "219-615-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUVAIS",
"first_name": "DARRELL",
"middle_name": "SCOTT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08002084A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300084683",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.