Youngsville Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3193 Issued in NC

Legal business name

YOUNGSVILLE CHIROPRACTIC CENTER

Practice address

700 US 1 Hwy
Ste 400
Youngsville, NC 27596-7872

Phone

(919) 556-2001

Fax

(919) 556-2207

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marion Earl Beaumont II, D.C.NPI 1437121878

Title

Owner/President

Phone

(919) 556-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marion Earl Beaumont II, D.C

  • Chiropractor
  • Raleigh, NC
  • NPI 1437121878
  Medicare reassignment Authorized official
• Jacob Allan McNair, D.C.

  • Chiropractor
  • Youngsville, NC
  • NPI 1790087849
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1366993669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US 1 HWY",
            "address_2": "STE 400",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967872",
            "telephone_number": "919-556-2001",
            "fax_number": "919-556-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US 1 HWY",
            "address_2": "STE 400",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967872",
            "telephone_number": "919-556-2001",
            "fax_number": "919-556-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSVILLE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "BEAUMONT",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-556-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437121878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Williams
• Jacob Wisor
• Brian Wittlinger
• Brittney Volante' Yancey
• Sharon Ann Yarem, LCSW

• Chiropractor in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.