Individual provider Active NPI

Joshua Beaudry, D.C.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1376864850
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6657 Issued in CO
Practice address
7200 E Dry Creek Rd
Suite G101
Centennial, CO 80112-2537
Phone
(303) 770-0605
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009656 MI
Chiropractor 111N00000X 6657 CO Primary

Addresses

Primary practice location

7200 E Dry Creek Rd
Suite G101
Centennial, CO 80112-2537

Mailing address

1355 S Colorado Blvd
# C303
Denver, CO 80222-3305
Phone (303) 770-0605

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

LicenseStateTypeSpecialty
6657COMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Springs Family Chiropractic Chiropractor Current Accepting new patients
Pleasant Chiropractic PC Chiropractor Past Accepting new patients

Locations

7200 E Dry Creek Rd
Ste G101
Centennial, CO 80112
Phone (303) 770-0605

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1376864850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD",
            "address_2": "# C303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223305",
            "telephone_number": "303-770-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E DRY CREEK RD",
            "address_2": "SUITE G101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122537",
            "telephone_number": "303-770-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009656",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.