Active NPI
Timothy C Beckering, D.C.
- Chiropractor
- Corfu, NY
National Provider Identifier
1336220078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011124
- Practice address
- 24 East Main St.
Corfu, NY 14036 - Phone
- (607) 221-7840
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | X011124 | NY | Primary |
Addresses
Primary practice location
24 East Main St.
Corfu, NY 14036
Mailing address
PO Box 8541
Endwell, NY 13762-8541
Phone (607) 221-7840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20331401901 | Other | NY | PRISM HEALTH NETWORKS |
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 |
|---|---|---|---|
| X011124 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCC of Mechanicsburg, P.C. | Chiropractor | Past | Accepting new patients |
| Mechanicsburg Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mechanicsburg Chiropractic Center
- Chiropractor
- Mechanicsburg, PA
- NPI 1881916500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336220078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8541",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137628541",
"telephone_number": "607-221-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 EAST MAIN ST.",
"city": "CORFU",
"state": "NY",
"postal_code": "14036",
"telephone_number": "607-221-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKERING",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM HEALTH NETWORKS",
"identifier": "20331401901",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corfu, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.