Organization Active NPI

Beaming Family Chiropractic

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1235486697
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F0010010 Issued in TX
Legal business name
BEAMING FAMILY CHIROPRACTIC
Practice address
600 W Campbell Rd Ste 4
Richardson, TX 75080-3385
Phone
(972) 246-8823
Fax
(469) 791-9128
NPI assigned
Aug 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Dr. Will Sun, D.C.
Title
President
Phone
(972) 246-8823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F0010010 TX Primary

Addresses

Primary practice location

600 W Campbell Rd Ste 4
Richardson, TX 75080-3385

Mailing address

PO Box 867355
Plano, TX 75086-7355
Phone (972) 246-8823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121129000384 TX Part B Supplier - Clinic/Group Practice 9739331612 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

13101 Preston Rd
Ste 502
Dallas, TX 75240
Phone (972) 246-8823

600 W Campbell Rd
Ste 4
Richardson, TX 75080
Phone (214) 941-9672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1235486697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867355",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750867355",
            "telephone_number": "972-246-8823",
            "fax_number": "469-791-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD STE 4",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803385",
            "telephone_number": "972-246-8823",
            "fax_number": "469-791-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAMING FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-246-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F0010010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.

Verify at the official NPI Registry.