Individual provider Active NPI

Alan Neil Beckerman, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1417075730
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR002011 Issued in GA
Practice address
4405 Northside Pkwy NW
Suite 2103 a
Atlanta, GA 30327-5202
Phone
(404) 869-7678
Fax
(404) 869-7658
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR002011 GA Primary

Addresses

Primary practice location

4405 Northside Pkwy NW
Suite 2103 a
Atlanta, GA 30327-5202

Mailing address

4405 Northside Pkwy NW
Suite 2103 a
Atlanta, GA 30327-5202
Phone (404) 869-7678

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
CHIR002011GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1417075730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 NORTHSIDE PKWY NW",
            "address_2": "SUITE 2103 A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275202",
            "telephone_number": "404-869-7678",
            "fax_number": "404-869-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 NORTHSIDE PKWY NW",
            "address_2": "SUITE 2103 A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275202",
            "telephone_number": "404-869-7678",
            "fax_number": "404-869-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "ALAN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.