Active NPI
For Your Well Being Chiropractic, S.C.
- Chiropractor
- White Bear Lake, MN
National Provider Identifier
1154743300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FOR YOUR WELL BEING CHIROPRACTIC, S.C.
- Practice address
- 2479 County Road E E
White Bear Lake, MN 55110-4807 - Phone
- (651) 770-5433
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Beauchamp, D.C.
- Title
- President
- Phone
- (651) 770-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MN | Primary |
Addresses
Primary practice location
2479 County Road E E
White Bear Lake, MN 55110-4807
Mailing address
2479 County Road E E
White Bear Lake, MN 55110-4807
Phone (651) 770-5433
National Provider Directory
National Provider DirectoryLocations
2479 County Road E E
White Bear Lk, MN 55110
Phone (651) 770-5433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1154743300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2479 COUNTY ROAD E E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104807",
"telephone_number": "651-770-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2479 COUNTY ROAD E E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104807",
"telephone_number": "651-770-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOR YOUR WELL BEING CHIROPRACTIC, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "BEAUCHAMP",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-770-5433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.