Active NPI
Cynthia Ann Beojekian-Pena, DC
- Chiropractor
- Leeds, NY
National Provider Identifier
1467435248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0055880-1
- Practice address
- 746 Route 23B
Leeds, NY 12451-1641 - Phone
- (518) 731-8010
- Fax
- (844) 296-0302
- NPI assigned
- Nov 25, 2005
- Last updated
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0055880-1 | NY | Primary |
| Chiropractor | 111N00000X | 4411 | CO |
Addresses
Primary practice location
746 Route 23B
Leeds, NY 12451-1641
Mailing address
746 Route 23B
Leeds, NY 12451-1641
Phone (518) 731-8010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024511 | Other | NY | CDPHP |
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 |
|---|---|---|---|
| X0055880-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1467435248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 ROUTE 23B",
"city": "LEEDS",
"state": "NY",
"postal_code": "124511641",
"telephone_number": "518-731-8010",
"fax_number": "844-296-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 ROUTE 23B",
"city": "LEEDS",
"state": "NY",
"postal_code": "124511641",
"telephone_number": "518-731-8010",
"fax_number": "844-296-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEOJEKIAN-PENA",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0055880-1",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4411",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10024511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leeds, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.