Jeffery G Beavers, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC0170060 Issued in CA

Practice address

5707 Marconi Ave
Suite D
Carmichael, CA 95608-4471

Phone

(916) 489-5450

Fax

(916) 489-2175

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beavers Better Health Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Carmichael, CA
  • NPI 1497394779
  Medicare reassignment NPD Authorized official
• Baratta Chiropractic Inc

  • Chiropractor
  • Carmichael, CA
  • NPI 1417126293
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1114929619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 MARCONI AVE",
            "address_2": "SUITE D",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084471",
            "telephone_number": "916-489-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 MARCONI AVE",
            "address_2": "SUITE D",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084471",
            "telephone_number": "916-489-5450",
            "fax_number": "916-489-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "JEFFERY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC0170060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Foot Care, Inc
• Ardalan Bayat, CMT
• David A Bayne, MD
• Kimberly Dawn Beatty, FNP-C
• Beavers Better Health Chiropractic, Inc.
• Behavioral Educational Assessment Services Inc
• Lisa Beintker, CAS II
• Bel Air Market Inc
• Robert Alan Beltran, B.A.
• Laurel Anne Bemis, M.A CCC-SLP

• Sports Physician Chiropractor in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.