Individual provider Active NPI

Evan Tyler Beatty, DC

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1306461488
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1902 Issued in LA
Practice address
6601 Veterans Memorial Blvd Ste 33
Metairie, LA 70003-3943
Phone
(504) 455-2242
NPI assigned
Jun 14, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1902 LA Primary

Addresses

Primary practice location

6601 Veterans Memorial Blvd Ste 33
Metairie, LA 70003-3943

Mailing address

6601 Veterans Memorial Blvd Ste 33
Metairie, LA 70003-3943
Phone (504) 445-2242

Other practice location 1

528 Bateleur Way
Covington, LA 70435-0698
Phone (985) 210-3921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000372 LA Practitioner - Chiropractic 2466862263 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broadus Chiropractic Services, LLC Chiropractor CurrentSince Oct 4, 2021 Accepting new patients
La Health Solutions, LLC Chiropractor CurrentSince May 23, 2024 Accepting new patients
La Tchops LLC Chiropractor Past Accepting new patients

Locations

606 Colonial Dr
Ste A
Baton Rouge, LA 70806
Phone (225) 313-4700

102 Fontainbleau Dr
Ste D1
Mandeville, LA 70471
Phone (985) 400-5300

3001 Division St
Ste 105
Metairie, LA 70002
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458
Phone (985) 641-2222

58465 Tyler St
Ste 15
Slidell, LA 70461
Phone (985) 214-9172

Organizations & group practices 4

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": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1306461488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD STE 33",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-445-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD STE 33",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-455-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Bateleur Way",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704350698",
            "country_code": "US",
            "telephone_number": "985-210-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "EVAN",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.