Randall Raymond Beach, D.C.
Individual provider Active NPI Chiropractor · Fremont, NE
NPI 1235112103 · NPPES record last updated Sep 13, 2026
Key facts
- NPI
- 1235112103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 690 (NE)
- Practice address
- 300 W 23Rd St
Beach Chiropractic Arts Center
Fremont, NE 68025-2547 - Phone
- (402) 721-1190
- Fax
- (402) 721-1199
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690 | NE | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Chiropractic Arts Center PC | Chiropractor | Current |
Accepting new patients |
| Dr. Ray Beach PC | Chiropractor | Past | Accepting new patients |
Locations
300 W 23rd St
Fremont, NE 68025
Phone (402) 721-1190
1835 E Military Ave
Ste 107
Fremont, NE 68025
Phone (402) 512-1860
1740 W 23rd St
Fremont, NE 68025
Phone (402) 721-1190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 690 | NE | Yes |
Addresses
Primary practice location
300 W 23Rd St
Beach Chiropractic Arts Center
Fremont, NE 68025-2547
Mailing address
300 W 23Rd St
Fremont, NE 68025-2547
Phone (402) 721-1190
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09811 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47075074900 | Medicaid | NE |
Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.