Individual provider Active NPI

Rex H Beanland, D.C.

  • Chiropractor
  • Louisville, OH
National Provider Identifier
1386733434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1889 Issued in OH
Practice address
316 S Chapel St
Louisville, OH 44641-1613
Phone
(330) 875-2225
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1889 OH Primary

Addresses

Primary practice location

316 S Chapel St
Louisville, OH 44641-1613

Mailing address

201 Elizabeth PL NW
Canton, OH 44709-1500
Phone (330) 493-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000118 OH Practitioner - Chiropractic 2668658337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chapel Street Chiropractic IncGroup PAC ID 0941486617, 2 clinicians

Practice addresses (Care Compare)

316 S Chapel St
Louisville, OH 44641-1613
Phone (330) 875-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Street Chiropractic Inc Chiropractor CurrentSince Jan 1, 2002 Accepting new patients

Locations

316 S Chapel St
Louisville, OH 44641
Phone (330) 704-7400

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386733434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELIZABETH PL NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091500",
            "telephone_number": "330-493-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S CHAPEL ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411613",
            "telephone_number": "330-875-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANLAND",
        "first_name": "REX",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.