Active NPI
William Lee Beatty, D.C.
- Chiropractor
- Murrysville, PA
National Provider Identifier
1205929122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001584L
- Practice address
- 4572 William Penn Hwy
Murrysville, PA 15668-2002 - Phone
- (724) 325-1010
- Fax
- (724) 325-1188
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC001584L | PA | Primary |
Addresses
Primary practice location
4572 William Penn Hwy
Murrysville, PA 15668-2002
Mailing address
4572 William Penn Hwy
Murrysville, PA 15668-2002
Phone (724) 325-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0624050 0005 | Medicaid | PA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC001584L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205929122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4572 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156682002",
"telephone_number": "724-325-1010",
"fax_number": "724-325-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4572 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156682002",
"telephone_number": "724-325-1010",
"fax_number": "724-325-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "WILLIAM",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001584L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0624050 0005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.