NPIMap

Organization Active NPI

Beckett Ridge Chiropractic LLC

  • Chiropractor
  • West Chester, OH
National Provider Identifier
1700894052
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3732 Issued in OH
Legal business name
BECKETT RIDGE CHIROPRACTIC LLC
Practice address
4936 Wunnenberg Way
West Chester, OH 45069-4985
Phone
(513) 860-5400
NPI assigned
Aug 3, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Joseph P Lindeman, DCNPI 1043242274
Title
Owner/Chiropractor
Phone
(513) 860-5400

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
Chiropractor 111N00000X 3732 OH Primary
Sports Physician Chiropractor 111NS0005X 2862 OH

Addresses

Primary practice location

4936 Wunnenberg Way
West Chester, OH 45069-4985

Mailing address

4936 Wunnenberg Way
West Chester, OH 45069-4985
Phone (513) 860-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000239 OH Part B Supplier - Clinic/Group Practice 9931164944 Receives reassigned benefits from 4 practitioners
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory
Part of
Elite Chiropractic LLC

Locations

4936 Wunnenberg Way
West Chester, OH 45069
Phone (513) 860-5400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1700894052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694985",
            "telephone_number": "513-860-5400",
            "fax_number": "513-870-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694985",
            "telephone_number": "513-860-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKETT RIDGE CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CHIROPRACTIC LLC",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "513-860-5400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3732",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "2862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.