Active NPI
Beugelsdijk Chiropractic, PA
- Chiropractor
- Great Bend, KS
National Provider Identifier
1336643402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05454
- Legal business name
- BEUGELSDIJK CHIROPRACTIC, PA
- Practice address
- 1309 Williams St
Great Bend, KS 67530-4447 - Phone
- (620) 792-3678
- NPI assigned
- Mar 22, 2018
- Last updated
- Apr 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Allen Beugelsdijk, DC
- Title
- Chiropracgtor/President
- Phone
- (620) 792-3678
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05454 | KS | Primary |
Addresses
Primary practice location
1309 Williams St
Great Bend, KS 67530-4447
Mailing address
1309 Williams St
Great Bend, KS 67530-4447
Phone (207) 923-6786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1309 Williams St
Great Bend, KS 67530
Phone (620) 792-3678
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Great Bend, KS
- NPI 1346511284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524441600000",
"number": "1336643402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 WILLIAMS ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675304447",
"telephone_number": "207-923-6786",
"fax_number": "620-792-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 WILLIAMS ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675304447",
"telephone_number": "620-792-3678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEUGELSDIJK CHIROPRACTIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-22",
"last_updated": "2018-04-23",
"status": "A",
"authorized_official_last_name": "BEUGELSDIJK",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIROPRACGTOR/PRESIDENT",
"authorized_official_telephone_number": "620-792-3678",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.