Organization Active NPI

Tyra L Beavers BS Pta DC

  • Chiropractor
  • Beverly Hills, CA
National Provider Identifier
1649450735
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23792 Issued in CA
Legal business name
TYRA L BEAVERS BS PTA DC
Practice address
250 N Robertson Blvd Ste 411
Beverly Hills, CA 90211-1793
Phone
(310) 859-7696
Fax
(310) 859-7699
NPI assigned
Nov 6, 2007
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Mrs. Tyra Lynn Beavers, D.C.NPI 1336106889
Title
Owner/Chiropractor
Phone
(310) 859-7696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23792 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd Ste 411
Beverly Hills, CA 90211-1793

Mailing address

250 N Robertson Blvd Ste 411
Beverly Hills, CA 90211-1793
Phone (310) 859-7696

National Provider Directory

National Provider Directory

Locations

250 N Robertson Blvd
Ste 411
Beverly Hills, CA 90211
Phone (310) 859-7696

Practitioners & affiliated clinicians

Practitioners 2

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1649450735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 411",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111793",
            "telephone_number": "310-859-7696",
            "fax_number": "310-859-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 411",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111793",
            "telephone_number": "310-859-7696",
            "fax_number": "310-859-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRA L BEAVERS BS PTA DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "310-859-7696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.