Active NPI
Woodrow Wilson Beck Jr., CHIROPRACTOR
- Chiropractor
- Lumberton, NC
National Provider Identifier
1295823573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 787
- Practice address
- 578 Farringdom Street
Lumberton, NC 28358 - Phone
- (910) 739-5751
- Fax
- (910) 739-0522
- NPI assigned
- Oct 11, 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 | 787 | NC | Primary |
Addresses
Primary practice location
578 Farringdom Street
Lumberton, NC 28358
Mailing address
PO Box 935
578 Farringdom Street
Lumberton, NC 28358
Phone (910) 739-5751
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08265 | Other | BCBS | |
| 08265 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787 | NC | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1295823573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935",
"address_2": "578 FARRINGDOM STREET",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-739-5751",
"fax_number": "910-739-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 FARRINGDOM STREET",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-739-5751",
"fax_number": "910-739-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "WOODROW",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08265",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08265",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.