Individual provider Active NPI

Brenda Louise Beaty, DC

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1215099361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103974 Issued in KS
Practice address
2110 E Santa Fe St
Fulk Chiropractic, PA
Olathe, KS 66062-1607
Phone
(913) 764-6237
Fax
(913) 397-8230
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0103974 KS Primary

Addresses

Primary practice location

2110 E Santa Fe St
Fulk Chiropractic, PA
Olathe, KS 66062-1607

Mailing address

14044 S Alcan St
Olathe, KS 66062-6064
Phone (913) 634-7084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000911 KS Practitioner - Chiropractic 8123019122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulk Chiropractic PAGroup PAC ID 1254324544, 7 clinicians

Practice addresses (Care Compare)

2110 E Santa Fe
Olathe, KS 66062-1607
Phone (913) 764-6237

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0103974KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fulk Chiropractic PA Chiropractor CurrentSince Mar 9, 2004 Accepting new patients

Locations

2110 E Santa Fe St
Olathe, KS 66062
Phone (913) 764-6237

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215099361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 S ALCAN ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626064",
            "telephone_number": "913-634-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E SANTA FE ST",
            "address_2": "FULK CHIROPRACTIC, PA",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621607",
            "telephone_number": "913-764-6237",
            "fax_number": "913-397-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "BRENDA",
        "middle_name": "LOUISE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

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.
  • 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.