Organization Active NPI

Beacon Health System Inc.

  • Chiropractor
  • Newark, OH
National Provider Identifier
1801121579
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEACON HEALTH SYSTEM INC.
Practice address
1665 E Main St
Newark, OH 43055-8868
Phone
(740) 522-5483
Fax
(740) 522-5481
NPI assigned
Oct 13, 2009
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Michael Jonathan Orr, D.C.NPI 1578524062
Title
President
Phone
(740) 522-5483

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1665 E Main St
Newark, OH 43055-8868

Mailing address

1665 E Main St
Newark, OH 43055-8868
Phone (740) 522-5483

Other identifiers 1

IdentifierTypeStateIssuer
2609609MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000253 OH Part B Supplier - Clinic/Group Practice 2961544200 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, OH

National Provider Directory

National Provider Directory

Locations

1665 E Main St
Newark, OH 43055
Phone (740) 522-5483

2112 Cherry Valley Rd
Ste 1
Newark, OH 43055
Phone (740) 522-5483

Practitioners & affiliated clinicians

Practitioners 1

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1801121579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430558868",
            "telephone_number": "740-522-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430558868",
            "telephone_number": "740-522-5483",
            "fax_number": "740-522-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH SYSTEM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-522-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.