Individual provider Active NPI

Adam Luke Beck, DC

  • Chiropractor
  • Knightdale, NC
National Provider Identifier
1780096131
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4455 Issued in NC
Practice address
6905 Knightdale Blvd Ste 105
Knightdale, NC 27545-6506
Phone
(919) 217-8806
Fax
(919) 217-8826
NPI assigned
May 20, 2014
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 4455 NC Primary

Addresses

Primary practice location

6905 Knightdale Blvd Ste 105
Knightdale, NC 27545-6506

Mailing address

6905 Knightdale Blvd Ste 105
Knightdale, NC 27545-6506
Phone (919) 217-8806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016001141 NC Practitioner - Chiropractic 9335360361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
919 SpineGroup PAC ID 9638456726, 2 clinicians

Practice addresses (Care Compare)

110 Competition Ctr Dr
Suite 150
Morrisville, NC 27560-9032
Phone (919) 342-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4455NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
919 Spine East Wake Sports Chiropractic PLLC Chiropractor Current Accepting new patients
Vardy Chiropractic and Wellness Clinics Chiropractor CurrentSince Jun 28, 2014 Accepting new patients
919 Spine Chiropractor CurrentSince Jan 28, 2022 Accepting new patients

Locations

121 Quantum St
Holly Springs, NC 27540
Phone (919) 342-0900

6905 Knightdale Blvd
Ste 105
Knightdale, NC 27545
Phone (919) 217-8806

110 Competition Center Dr
Ste 150
Morrisville, NC 27560
Phone (919) 342-0900

2555 Wendell Blvd
Wendell, NC 27591
Phone (919) 366-3111

Organizations & group practices 3

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1780096131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 KNIGHTDALE BLVD STE 105",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456506",
            "telephone_number": "919-217-8806",
            "fax_number": "919-217-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 KNIGHTDALE BLVD STE 105",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456506",
            "telephone_number": "919-217-8806",
            "fax_number": "919-217-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ADAM",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.