Bevins & Schork Chiropractic Clinic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1892 & 2609 Issued in OH

Legal business name

BEVINS & SCHORK CHIROPRACTIC CLINIC LTD

Practice address

505 W Emmitt Ave
Suite 2
Waverly, OH 45690-1083

Phone

(740) 941-4311

Fax

(740) 947-9884

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Gail Young

Title

Billing Specialist

Phone

(740) 941-4311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bevins, D.C.

  • Chiropractor
  • Waverly, OH
  • NPI 1891717518
  Medicare reassignment Care Compare group NPD
• Leslee C Schork-Bevins, D.C.

  • Chiropractor
  • Waverly, OH
  • NPI 1952323750
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1710104005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W EMMITT AVE",
            "address_2": "SUITE 2",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901083",
            "telephone_number": "740-941-4311",
            "fax_number": "740-947-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W EMMITT AVE",
            "address_2": "SUITE 2",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901083",
            "telephone_number": "740-941-4311",
            "fax_number": "740-947-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVINS & SCHORK CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "740-941-4311"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1892 & 2609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2256928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Michelle Bene
• Eric J Bennett, CMS
• Jack David Bennett, M.D.
• Elizabeth A Bentley, DO
• Donna Bevens
• John Bevins, D.C.
• Veronica Michelle Black, CDCA
• Kara Blackburn
• Yvonne Leslie Blackburn, CMS
• Toni Rochelle Blair, LPN

• Chiropractor in Waverly, OH
• Providers in Waverly, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.