Active NPI
Kevin Beard, DC
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1467694331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC8632
- Practice address
- 1335 W Tabor Rd Ste 211
Philadelphia, PA 19141-3040 - Phone
- (917) 701-4510
- NPI assigned
- Mar 24, 2009
- 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 | DC8632 | PA | Primary |
Addresses
Primary practice location
1335 W Tabor Rd Ste 211
Philadelphia, PA 19141-3040
Mailing address
PO Box 1961
Philadelphia, PA 19105-1961
Phone (917) 701-4510
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC8632 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1467694331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1961",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191051961",
"telephone_number": "917-701-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 W TABOR RD STE 211",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413040",
"telephone_number": "917-701-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC8632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.