Individual provider Active NPI

Carl Jay Beukelman, D.C.

  • Chiropractor
  • Loveland, CO
National Provider Identifier
1578617536
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05484 Issued in IA
Practice address
162 E 29TH St
Loveland, CO 80538-2724
Phone
(970) 667-7159
Fax
(970) 593-1033
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05484 IA Primary

Addresses

Primary practice location

162 E 29TH St
Loveland, CO 80538-2724

Mailing address

162 E 29TH St
Loveland, CO 80538-2724
Phone (970) 667-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111116000288 IA Practitioner - Chiropractic 2567636129 Reassigns benefits to 1 organization
I20171205003271 CO Practitioner - Chiropractic 2567636129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

162 E 29TH St
Loveland, CO 80538-2724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05484IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beukelman Inc Chiropractor CurrentSince Nov 1, 2017 Accepting new patients
Kenneth W Van Wyk Chiropractor PastSince May 14, 2012 Accepting new patients

Locations

1717 Madison Ave
Ste 1
Loveland, CO 80538
Phone (970) 667-7159

162 E 29th St
Loveland, CO 80538
Phone (970) 481-2940

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1578617536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E 29TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382724",
            "telephone_number": "970-667-7159",
            "fax_number": "970-593-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E 29TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382724",
            "telephone_number": "970-667-7159",
            "fax_number": "970-593-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKELMAN",
        "first_name": "CARL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.