Organization Active NPI

Beam Chiropractic Health Center

  • Chiropractor
  • Howell, NJ
National Provider Identifier
1114066826
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEAM CHIROPRACTIC HEALTH CENTER
Practice address
602 Candlewood CMNS
Howell, NJ 07731-2173
Phone
(732) 901-3001
Fax
(732) 901-3105
NPI assigned
Feb 6, 2007
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Dr. Sandra Katarina Bon Beam, DCNPI 1376688101
Title
Delegated Official
Phone
(732) 901-3001

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

602 Candlewood CMNS
Howell, NJ 07731-2173

Mailing address

602 Candlewood CMNS
Howell, NJ 07731-2173
Phone (732) 901-3001

Other identifiers 1

IdentifierTypeStateIssuer
455227OtherNJMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202000950 NJ Part B Supplier - Clinic/Group Practice 9537469473 Receives reassigned benefits from 6 practitioners
Practice locations: Freehold, NJ; Howell, NJ

National Provider Directory

National Provider Directory

Locations

55 Schanck Rd
Ste B19
Freehold, NJ 07728
Phone (732) 294-0004

602 Candlewood Cmns
Howell, NJ 07731
Phone (732) 901-3001

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1114066826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312173",
            "telephone_number": "732-901-3001",
            "fax_number": "732-901-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312173",
            "telephone_number": "732-901-3001",
            "fax_number": "732-901-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BON BEAM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KATARINA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "732-901-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "455227",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.