Individual provider Active NPI

Daniel E Beeson, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1639398746
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
651201 Issued in OR
Practice address
7215 SE 13TH Ave
Portland, OR 97202-5803
Phone
(503) 238-7025
Fax
(503) 238-1656
NPI assigned
Apr 25, 2007
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 651201 OR Primary

Addresses

Primary practice location

7215 SE 13TH Ave
Portland, OR 97202-5803

Mailing address

7215 SE 13TH Ave
Portland, OR 97202-5803
Phone (503) 238-7025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000791 OR Practitioner - Chiropractic 0446427157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7215 SE 13TH Ave
Portland, OR 97202-5898
Phone (503) 238-7025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
651201ORMDChiropractor
1201ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel E Beeson DC PC Chiropractor CurrentSince Sep 29, 1983 Accepting new patients
Evergreen Integrative Medicine, LLC PastSince Nov 1, 2011 Accepting new patients

Locations

7215 SE 13th Ave
Portland, OR 97202
Phone (503) 238-7025

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1639398746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025803",
            "telephone_number": "503-238-7025",
            "fax_number": "503-238-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025803",
            "telephone_number": "503-238-7025",
            "fax_number": "503-238-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEESON",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "651201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.