Individual provider Active NPI

Sean Beukelman, DC

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1336518885
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12922 Issued in TX
Practice address
2219 Sawdust Rd
Suite 604
The Woodlands, TX 77380-2575
Phone
(281) 719-5004
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12922 TX Primary

Addresses

Primary practice location

2219 Sawdust Rd
Suite 604
The Woodlands, TX 77380-2575

Mailing address

2219 Sawdust Rd
Suite 604
The Woodlands, TX 77380-2575
Phone (281) 719-5004

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12922TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Potential Houston Heights LLC Chiropractor Current Accepting new patients
Peak Potential Family Chiropractic 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.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1336518885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD",
            "address_2": "SUITE 604",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802575",
            "telephone_number": "281-719-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SAWDUST RD",
            "address_2": "SUITE 604",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802575",
            "telephone_number": "281-719-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKELMAN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.