Active NPI
Alexander Beatty, DC
- Chiropractor
- Southlake, TX
National Provider Identifier
1689344277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13783
- Practice address
- 1230 N Kimball Ave # 140
Southlake, TX 76092-4707 - Phone
- (817) 912-1392
- Fax
- (817) 912-1607
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13783 | TX | Primary |
Addresses
Primary practice location
1230 N Kimball Ave # 140
Southlake, TX 76092-4707
Mailing address
1230 N Kimball Ave # 140
Southlake, TX 76092-4707
Phone (817) 912-1392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13783 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1689344277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N KIMBALL AVE # 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924707",
"telephone_number": "817-912-1392",
"fax_number": "817-912-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N KIMBALL AVE # 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924707",
"telephone_number": "817-912-1392",
"fax_number": "817-912-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "13783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.