Individual provider Active NPI

John Patrick Beshel, D.C.

  • Chiropractor
  • Burlington, NC
National Provider Identifier
1720084411
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2769 Issued in NC
Practice address
2551 S Church St
Burlington, NC 27215-5203
Phone
(336) 586-0101
Fax
(336) 586-0109
NPI assigned
Jun 27, 2005
Reactivated
Mar 22, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2769 NC Primary

Addresses

Primary practice location

2551 S Church St
Burlington, NC 27215-5203

Mailing address

PO Box 365
Elon, NC 27244-0365
Phone (336) 586-0101

Other identifiers 1

IdentifierTypeStateIssuer
890839MMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000048 NC Practitioner - Chiropractic 5395711337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JPB Healthcare PCGroup PAC ID 7911973953, 2 clinicians

Practice addresses (Care Compare)

2551 S Church St
Burlington, NC 27215-5203
Phone (336) 586-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JPB Healthcare PC Chiropractor CurrentSince Jun 1, 2003 Accepting new patients
JPB Chiropractic LLC Chiropractor Past Accepting new patients
TJC Healthcare, P.C. Chiropractor PastSince Jul 1, 2012 Accepting new patients
Schilsky Chiropractic Center PA Chiropractor Past Accepting new patients
Matteo Chiropractic PLLC Chiropractor PastSince Mar 1, 2007 Accepting new patients
Sprague, PLLC Chiropractor Past Accepting new patients

Locations

2551 S Church St
Burlington, NC 27215
Phone (336) 260-1140

1454 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 644-2700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1720084411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272440365",
            "telephone_number": "336-586-0101",
            "fax_number": "336-586-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155203",
            "telephone_number": "336-586-0101",
            "fax_number": "336-586-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHEL",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-06-24",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890839M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.