Active NPI
Carl Jay Beukelman, D.C.
- Chiropractor
- Loveland, CO
National Provider Identifier
1578617536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05484
- 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
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 | 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, CO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A05484 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beukelman Inc | Chiropractor | Current | Accepting new patients |
| Kenneth W Van Wyk | Chiropractor | Past | 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.
-
- Chiropractor
- Loveland, CO
- NPI 1063922169
-
- Chiropractor
- Pella, IA
- NPI 1124151832
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.