Dale Lee Beauvais, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001767A Issued in IN

Practice address

2600 Roosevelt Rd
Valparaiso, IN 46383-0970

Phone

(219) 465-5015

Fax

(219) 548-3828

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Lake County Chiropractor Clinic Inc.

  • Chiropractor
  • Schererville, IN
  • NPI 1346945334
  Medicare reassignment NPD Authorized official
• Porter County Chiropractic Clinic Inc.

  • Chiropractor
  • Valparaiso, IN
  • NPI 1144203183
  Medicare reassignment NPD Authorized official
• Brian T Cassani DC PSC

  • Chiropractor
  • Valparaiso, IN
  • NPI 1851518823
  NPD (past)
• Porter County Physical Med Rehab

  • Physical Therapist
  • Valparaiso, IN
  • NPI 1659445286
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1760506554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841009",
            "telephone_number": "219-465-5015",
            "fax_number": "219-548-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830970",
            "telephone_number": "219-465-5015",
            "fax_number": "219-548-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUVAIS",
        "first_name": "DALE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001767A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200155470C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BC/BS GROUP NO",
            "identifier": "90000986",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000093417",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NO",
            "identifier": "350049047",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lynn Bazelewski
• BDD Dag PC
• Kaitlin Rae Beatty, OTR/L
• Marcia Beauchamp
• Chelsea Beauregard, NP
• Darrell Scott Beauvais, DC
• Candace Beck, M.A. CCC-SLP
• Talibrianna Becktemba
• Bee-Lieve Counseling LLC
• Bee-Lieve Counseling LLC

• All providers in Valparaiso, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.