Active NPI
Beaman N Dearinger, DC
- Chiropractor
- Bardstown, KY
National Provider Identifier
1497821037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1548
- Practice address
- 107 N 5TH Street
Bardstown, KY 40004 - Phone
- (502) 348-3202
- Fax
- (502) 348-0321
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1548 | KY | Primary |
Addresses
Primary practice location
107 N 5TH Street
Bardstown, KY 40004
Mailing address
107 N 5TH Street
Bardstown, KY 40004
Phone (502) 348-0321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001584 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497821037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N 5TH STREET",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "40004",
"telephone_number": "502-348-0321",
"fax_number": "502-348-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N 5TH STREET",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "40004",
"telephone_number": "502-348-3202",
"fax_number": "502-348-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARINGER",
"first_name": "BEAMAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "1548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001584",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.