Samuel Allen Beugelsdijk, D.C.
Individual provider Active NPI Chiropractor · Great Bend, KS
NPI 1346511284 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1346511284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05454 (KS)
- Practice address
- 1309 Williams St
Great Bend, KS 67530-4447 - Phone
- (620) 792-3678
- Fax
- (620) 792-3670
- NPI assigned
- Jan 24, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beugelsdijk Chiropractic PA
Practice addresses (Care Compare)
1309 Williams St
Great Bend, KS 67530-4447
Phone (620) 792-3678
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000323 | KS | Practitioner - Chiropractic | 8628239977 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05454 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beugelsdijk Chiropractic, PA | Chiropractor | Current |
Accepting new patients |
| Nichols Chiropractic, PA | Chiropractor | Current |
Accepting new patients |
| Konza Acupuncture & Herbal Medicine, LLC | Past | Accepting new patients |
Locations
1309 Williams St
Great Bend, KS 67530
Phone (620) 792-3678
2749 Pembrook Pl
Manhattan, KS 66502
Phone (785) 537-2211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05454 | KS | Yes |
Addresses
Primary practice location
1309 Williams St
Great Bend, KS 67530-4447
Mailing address
1309 Williams St
Great Bend, KS 67530-4447
Phone (620) 792-3678
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.