Beau Jordan Van Wechel

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

107840 Issued in IA

Practice address

8761 US Highway 42 Ste C
Union, KY 41091-9316

Phone

(859) 647-7780

NPI assigned

Mar 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DC Management and Consulting LLC

  • Chiropractor
  • Union, KY
  • NPI 1922716380
  Medicare reassignment NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1417532136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 US HIGHWAY 42 STE C",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410919316",
            "telephone_number": "859-647-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 US HIGHWAY 42 STE C",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410919316",
            "telephone_number": "859-647-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WECHEL",
        "first_name": "BEAU",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "107840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "107840",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Turner Family Dentistry PSC
• Dedi L Turner, DDS
• Union Emergency Services Alliance
• Union Fire Protection District
• Union Pediatrics, PSC
• Eblin Carolina Venegas, RN
• Leigh Wagner, DPT
• Pamela C Walden, DMD
• Connie S. Wallace, M.A., CCC
• Brian J Walters, MD

• Chiropractor in Union, KY
• Providers in Union, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.