Organization Active NPI

John P Beaupied DPM LLC

  • Podiatrist
  • Palos Heights, IL
National Provider Identifier
1760792725
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004181 Issued in IL
Legal business name
JOHN P BEAUPIED DPM LLC
Practice address
6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2269
Phone
(708) 371-2310
Fax
(708) 371-9015
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. John Paul Beaupied, D.P.M.NPI 1669587069
Title
Podiatrist/Owner
Phone
(708) 371-2310

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016004181 IL Primary

Addresses

Primary practice location

6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2269

Mailing address

6420 W 127TH St
Suite 105
Palos Heights, IL 60463-2269
Phone (708) 371-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110222000509 IL DME Supplier - Physician - Podiatry 1456532688 Practice locations: Palos Heights, IL
O20110224000122 IL Part B Supplier - Clinic/Group Practice 1456532688 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1760792725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "address_2": "SUITE 105",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632269",
            "telephone_number": "708-371-2310",
            "fax_number": "708-371-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "address_2": "SUITE 105",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632269",
            "telephone_number": "708-371-2310",
            "fax_number": "708-371-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P BEAUPIED DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "BEAUPIED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "708-371-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.