Individual provider Active NPI

Timothy Joseph Beshel, D.C.

  • Chiropractor
  • Graham, NC
National Provider Identifier
1124347422
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4078 Issued in NC
Practice address
101 Ivey Road
Graham, NC 27253-3718
Phone
(336) 227-6000
Fax
(336) 227-6097
NPI assigned
May 26, 2010
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4078 NC Primary

Addresses

Primary practice location

101 Ivey Road
Graham, NC 27253-3718

Mailing address

1454 Gentry Memorial Hwy
Easley, SC 29640-6940
Phone (864) 644-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001138 NC Practitioner - Chiropractic 0648304816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJC Healthcare PCGroup PAC ID 0749314912, 2 clinicians
JPB Healthcare PCGroup PAC ID 7911973953, 2 clinicians

Practice addresses (Care Compare)

101 Ivey Rd
Graham, NC 27253-3718
Phone (336) 227-6000

2551 S Church St
Burlington, NC 27215-5203
Phone (336) 586-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4078NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JPB Healthcare PC Chiropractor CurrentSince Sep 1, 2023 Accepting new patients

Locations

2551 S Church St
Burlington, NC 27215
Phone (336) 260-1140

1454 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 644-2700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1124347422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406940",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IVEY ROAD",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533718",
            "telephone_number": "336-227-6000",
            "fax_number": "336-227-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHEL",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.