Daniel Raymond Beadle, D.C.
Individual provider Active NPI Chiropractor · Lemoore, CA
NPI 1609301217 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1609301217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 33863 (CA)
- Practice address
- 937 Franklin Ave
Lemoore, CA 93246-4700 - Phone
- (559) 998-4481
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33863 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33863 | CA | Yes |
Addresses
Primary practice location
937 Franklin Ave
Lemoore, CA 93246-4700
Mailing address
937 Franklin Ave
Lemoore, CA 93246-4700
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.