David Ellis Beauchamp, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

3706 River Rd
Sterling, IL 61081-4204

Phone

(815) 626-6357

Fax

(815) 626-6376

NPI assigned

Oct 3, 2006

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Diagnostic Radiology, Physical Medicine and Rehabilitation

Education

National College of Chiropractic, 1978

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.

• David E. Beauchamp, D.C., P.C.

  • Chiropractor
  • Sterling, IL
  • NPI 1962609867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1790870038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 RIVER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814204",
            "telephone_number": "815-626-6357",
            "fax_number": "815-626-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 RIVER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814204",
            "telephone_number": "815-626-6357",
            "fax_number": "815-626-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "DAVID",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "988-2010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B Free Chiropractic Services Inc
• Darien Joyce Bardoner
• Chelsea Barron, RN, FNP-S
• Mari Alysha Barsema
• Jamie Lee Baxter, RD, LDN
• Jennifer Becker
• Kaylene Becker
• Adam Vincent Beien, OT
• Michael Belinson, M.D.
• Jessica D Benyo, MS, RDN, LDN, CPT

• Chiropractor in Sterling, IL
• Providers in Sterling, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.