Active NPI
Robert James Beeler, D.C.,F.I.A.C.A.
- Chiropractor
- Hutchinson, MN
National Provider Identifier
1114940608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1389
- Practice address
- 903 Highway 15 S
Hutchinson, MN 55350-3193 - Phone
- (320) 587-6666
- Fax
- (320) 587-8244
- NPI assigned
- Jul 25, 2006
- Last updated
- May 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 1389 | MN | Primary |
Addresses
Primary practice location
903 Highway 15 S
Hutchinson, MN 55350-3193
Mailing address
903 Highway 15 S
P.O. Box 579
Hutchinson, MN 55350-3193
Phone (320) 587-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339525100 | Medicaid | MN |
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 |
|---|---|---|---|
| 1389 | MN | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hutchinson, MN
- NPI 1629155239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1114940608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 HIGHWAY 15 S",
"address_2": "P.O. BOX 579",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553503193",
"telephone_number": "320-587-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 HIGHWAY 15 S",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553503193",
"telephone_number": "320-587-6666",
"fax_number": "320-587-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEELER",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "D.C.,F.I.A.C.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339525100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.