Rick Betancur, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00706600 Issued in NJ

Practice address

1945 Morris Ave Ste 9
Advanced Spine Center
Union, NJ 07083-3518

Phone

(973) 567-7463

Fax

(908) 688-0004

NPI assigned

Jan 10, 2007

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1497804983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 MORRIS AVE STE 9",
            "address_2": "ADVANCED SPINE CENTER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833518",
            "telephone_number": "973-567-7463",
            "fax_number": "908-688-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 MORRIS AVE STE 9",
            "address_2": "ADVANCED SPINE CENTER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833518",
            "telephone_number": "973-567-7463",
            "fax_number": "908-688-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCUR",
        "first_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2358",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00706600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "Y36695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Union, NJ
• Providers in Union, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.