Organization Active NPI

Beamont Chiropractic LLC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1619206539
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5040 Issued in KY
Legal business name
BEAMONT CHIROPRACTIC LLC
Practice address
3160 Beaumont Circle
Suite 130
Lexington, KY 40513
Phone
(859) 351-8081
NPI assigned
Dec 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Collin P Smith, DCNPI 1467595470
Title
Chiropractor
Phone
(859) 351-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5040 KY Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4263 KY

Addresses

Primary practice location

3160 Beaumont Circle
Suite 130
Lexington, KY 40513

Mailing address

3160 Beaumont Circle
Suite 130
Lexington, KY 40513
Phone (859) 351-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100528000463 KY Part B Supplier - Clinic/Group Practice 0143359166 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Lexington, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3165 Beaumont Centre Cir
Ste 130
Lexington, KY 40513
Phone (859) 219-1014

171 W Lowry Ln
Ste 164
Lexington, KY 40503
Phone (859) 277-5077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1619206539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 BEAUMONT CIRCLE",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40513",
            "telephone_number": "859-351-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 BEAUMONT CIRCLE",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40513",
            "telephone_number": "859-351-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAMONT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "859-351-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5040",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.