David V Beavers, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005816 Issued in MO

Practice address

11104 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1113

Phone

(636) 625-6000

Fax

(636) 625-6008

NPI assigned

Feb 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Logan University

  • Chiropractor
  • Chesterfield, MO
  • NPI 1194765941
  Medicare reassignment
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1770624827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000",
            "fax_number": "636-625-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000",
            "fax_number": "636-625-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "DAVID",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "3306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Be the Change Counseling Services
• Matt Beamer
• Bean Christian Counseling Inc.
• Janis L. Bean, LPC
• Valerie Beason, MA, LPC
• Jennifer Bechtoldt, BCBA
• John Morris Bedwinek, MD
• Befit Health Services, Inc.
• Andrea Behr, M.D.
• Montacer Belfancha, NP

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.