Active NPI
Wilson Dean Beacham
- Chiropractor
- McKinney, TX
National Provider Identifier
1407027410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4317
- Practice address
- 1508 W Louisiana St
McKinney, TX 75069 - Phone
- (972) 542-0526
- Fax
- (972) 542-0526
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4317 | TX | Primary |
Addresses
Primary practice location
1508 W Louisiana St
McKinney, TX 75069
Mailing address
1508 W Louisiana St
McKinney, TX 75069
Phone (972) 542-0526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4317 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medartpros South | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- McKinney, TX
- NPI 1215268297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1407027410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 W LOUISIANA ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "972-542-0526",
"fax_number": "972-542-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 W LOUISIANA ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "972-542-0526",
"fax_number": "972-542-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACHAM",
"first_name": "WILSON",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.