Organization Active NPI

Bess Chiropractic, PA

  • Chiropractor
  • Monroe, NC
National Provider Identifier
1790858173
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2325 AND 2358 Issued in NC
Legal business name
BESS CHIROPRACTIC, PA
Practice address
813 E Roosevelt Blvd Ste K
Monroe, NC 28112-5169
Phone
(704) 225-1918
Fax
(704) 225-9719
NPI assigned
Nov 15, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Amanda Yvette Bess-Fishel, D.C.NPI 1376616748
Title
President
Phone
(704) 225-1918

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
Chiropractor 111N00000X 2325 AND 2358 NC Primary

Addresses

Primary practice location

813 E Roosevelt Blvd Ste K
Monroe, NC 28112-5169

Mailing address

813 E Roosevelt Blvd Ste K
Monroe, NC 28112-5169
Phone (704) 225-1918

Other identifiers 2

IdentifierTypeStateIssuer
013WCOtherNCBCBSNC
89013WCMedicaidNC

Other names 1

  • Bess Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071103000099 NC Part B Supplier - Clinic/Group Practice 9638266851 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Locations

813 E Roosevelt Blvd
Ste K
Monroe, NC 28112
Phone (704) 225-1918

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1790858173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E ROOSEVELT BLVD STE K",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125169",
            "telephone_number": "704-225-1918",
            "fax_number": "704-225-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E ROOSEVELT BLVD STE K",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125169",
            "telephone_number": "704-225-1918",
            "fax_number": "704-225-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BESS-FISHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-225-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2325 AND 2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "013WC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013WC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bess Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.