Active NPI
Family Chiropractic and Wellness, LLC
- Chiropractor
- Columbus, IN
National Provider Identifier
1174821458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002557A
- Legal business name
- FAMILY CHIROPRACTIC AND WELLNESS, LLC
- Practice address
- 1405 Washington St
Columbus, IN 47201-5717 - Phone
- (812) 373-3376
- Fax
- (812) 373-7977
- NPI assigned
- Mar 10, 2011
- 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
- William Justin Beckner, DC
- Title
- DC
- Phone
- (812) 373-3376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002557A | IN | Primary |
Addresses
Primary practice location
1405 Washington St
Columbus, IN 47201-5717
Mailing address
1405 Washington St
Columbus, IN 47201-5717
Phone (812) 373-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110322000817 | IN | Part B Supplier - Clinic/Group Practice | 1355524737 |
Receives reassigned benefits from 6 practitioners Practice locations: Columbus, IN |
National Provider Directory
National Provider DirectoryLocations
1001 Washington St
Columbus, IN 47201
Phone (812) 342-9850
1405 Washington St
Columbus, IN 47201
Phone (812) 373-3376
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Columbus, IN
- NPI 1184193823
-
- Chiropractor
- Columbus, IN
- NPI 1568176535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398729600000",
"number": "1174821458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 WASHINGTON ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015717",
"telephone_number": "812-373-3376",
"fax_number": "812-373-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 WASHINGTON ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015717",
"telephone_number": "812-373-3376",
"fax_number": "812-373-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CHIROPRACTIC AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2014-04-29",
"status": "A",
"authorized_official_last_name": "BECKNER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JUSTIN",
"authorized_official_title_or_position": "DC",
"authorized_official_telephone_number": "812-373-3376",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08002557A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.