J.Beck Chiropractic & Wellness, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4612 Issued in MN

Legal business name

J.BECK CHIROPRACTIC & WELLNESS, P.A.

Practice address

3021 Harbor LN N
Suite 109
Plymouth, MN 55447-5109

Phone

(763) 383-1111

Fax

(763) 383-1112

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Beck, D.C.

Title

President

Phone

(763) 383-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1295902658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475109",
            "telephone_number": "763-383-1111",
            "fax_number": "763-383-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475109",
            "telephone_number": "763-383-1111",
            "fax_number": "763-383-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.BECK CHIROPRACTIC & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-383-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermediate District 287
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• Julie Ann Jackman, PHARMD, BC-ACP, BCPP
• Ethan Jared Jackson
• Michael Blake Jacob, PA-C
• Kimberly K Jacobsen, MD

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.