Patricia Mikela Beall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03706 Issued in MD

Practice address

650 Ritchie Hwy
Severna Park, MD 21146-3916

Phone

(410) 431-5544

NPI assigned

Feb 1, 2011

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Patricia Denardo Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Potential Chiropractic and Physical TherapyGroup PAC ID 9032644398, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peak Potential Chiropractic and Physical Therapy

  • Chiropractor
  • Severna Park, MD
  • NPI 1184470825
  Medicare reassignment Care Compare group NPD Authorized official
• Effective Integrative Healthcare, LLC

  • Physical Medicine & Rehabilitation Physician
  • Millersville, MD
  • NPI 1568707081

  Chiropractor

  Medicare reassignment NPD
• Ergonomically Correct LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1043217524
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1750687141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LOCUST THORN CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081858",
            "telephone_number": "607-280-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463916",
            "telephone_number": "410-431-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Watkins Glen",
            "state": "NY",
            "postal_code": "148911034",
            "country_code": "US",
            "telephone_number": "607-280-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALL",
        "first_name": "PATRICIA",
        "middle_name": "MIKELA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03706",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DENARDO",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.