Individual provider Active NPI

Marianne Abate-Beavers, DC

  • Chiropractor
  • Rocklin, CA
National Provider Identifier
1124139431
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22521 Issued in CA
Practice address
4700 Rocklin Road
Rocklin, CA 95677-3334
Phone
(916) 632-2676
Fax
(916) 632-9869
NPI assigned
Aug 31, 2006
Last updated
Oct 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22521 CA Primary

Addresses

Primary practice location

4700 Rocklin Road
Rocklin, CA 95677-3334

Mailing address

4700 Rocklin Road
Rocklin, CA 95677-3334
Phone (916) 632-2676

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

LicenseStateTypeSpecialty
DC22521CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1124139431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ROCKLIN ROAD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773334",
            "telephone_number": "916-632-2676",
            "fax_number": "916-632-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ROCKLIN ROAD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773334",
            "telephone_number": "916-632-2676",
            "fax_number": "916-632-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATE-BEAVERS",
        "first_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.