Alan L Beeson, D.C., CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3121 Issued in AZ

Practice address

8750 E Valley Rd
Prescott Valley, AZ 86314-8739

Phone

(928) 772-8638

Fax

(928) 775-2407

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1205830650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25191",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863125191",
            "telephone_number": "928-772-8638",
            "fax_number": "928-775-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 E VALLEY RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148739",
            "telephone_number": "928-772-8638",
            "fax_number": "928-775-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEESON",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3121",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "3121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0942900",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan N. Beaty, LISAC PH.D (DOCTOR O
• Barbara Beck, LPC
• Julie R. Beck, MC, LPC
• Beeson Chiropractic Life Center Inc
• Lynne Marie Beeson Coit, LMT
• Kathy J Beeson, D.C.
• Beginnings Birth and Wellness Center
• Daniel Bejar, LISAC
• Patricia Louise Benard-Walls, ARNP
• Bennett Clinic LLC

• All providers in Prescott Valley, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.