Hudson Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4935 Issued in MN

Legal business name

HUDSON CHIROPRACTIC, S.C.

Practice address

2479 County Road E E
White Bear Lake, MN 55110-4807

Phone

(651) 770-5433

Fax

(651) 777-1733

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Travis Beauchamp, D.C.NPI 1821119934

Title

President

Phone

(651) 770-5433

Specialties & licenses 1

Addresses

Other names 1

• For Your Well Being Chiropractic Doing business as

Practitioners 1

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

• Travis Beauchamp, D.C.

  • Chiropractor
  • Hudson, WI
  • NPI 1821119934
  NPD (past) Authorized official

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1396971909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104807",
            "telephone_number": "651-770-5433",
            "fax_number": "651-777-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104807",
            "telephone_number": "651-770-5433",
            "fax_number": "651-777-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-770-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Your Well Being Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Clark Hoistad
• Braxten Hoistad
• Colleen Holtz, DDS
• Diane Lynn Hovey
• Kelly Marie Hoyos
• Andrew Hull, PHD
• Krystal Rebecca Ibarra
• Kenneth Igwacho
• Illumia Health LLC
• In Home Health LLC

• All providers in White Bear Lake, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.