Organization Active NPI

Beach Chiropractic Arts Center PC

  • Chiropractor
  • Fremont, NE
National Provider Identifier
1639497233
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
690 Issued in NE
Legal business name
BEACH CHIROPRACTIC ARTS CENTER PC
Practice address
1835 E Military Ave
Ste 107
Fremont, NE 68025-5477
Phone
(402) 721-1190
Fax
(402) 721-1199
NPI assigned
May 7, 2010
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Randall R Beach, D.C.NPI 1235112103
Title
Owner/D.C.
Phone
(402) 721-1190

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 690 NE Primary

Addresses

Primary practice location

1835 E Military Ave
Ste 107
Fremont, NE 68025-5477

Mailing address

1835 E Military Ave Ste 107
Fremont, NE 68025-5477
Phone (402) 721-1190

National Provider Directory

National Provider Directory

Locations

1740 W 23rd St
Fremont, NE 68025
Phone (402) 721-1190

1835 E Military Ave
Ste 107
Fremont, NE 68025
Phone (402) 721-1190

300 W 23rd St
Fremont, NE 68025
Phone (402) 721-1190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1639497233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E MILITARY AVE STE 107",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255477",
            "telephone_number": "402-721-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E MILITARY AVE",
            "address_2": "STE 107",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255477",
            "telephone_number": "402-721-1190",
            "fax_number": "402-721-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CHIROPRACTIC ARTS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/D.C.",
        "authorized_official_telephone_number": "402-721-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.