Individual provider Active NPI

Patrick Allan Beck, D.C.

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1811903008
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7647 Issued in AZ
Practice address
2840 Hiway 95
Suite 420
Bullhead City, AZ 86442-7792
Phone
(928) 234-8007
Fax
(928) 277-8002
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7647 AZ Primary

Addresses

Primary practice location

2840 Hiway 95
Suite 420
Bullhead City, AZ 86442-7792

Mailing address

2840 Hiway 95
Suite 420
Bullhead City, AZ 86442-7792
Phone (928) 234-8007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000826 AZ Practitioner - Chiropractic 6002914397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek Price Chiropractic PLLCGroup PAC ID 4082655360, 2 clinicians

Practice addresses (Care Compare)

1868 Hway
Suite 95
Bullhead City, AZ 86442-6800
Phone (928) 763-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7647AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Derek Price Chiropractic PLLC Chiropractor CurrentSince Aug 1, 2019 Accepting new patients
Bullhead Family Medical LLC CurrentSince Apr 20, 2015 Accepting new patients
Revolutionary Services LLC Chiropractor PastSince Sep 20, 2009 Accepting new patients
Revolutionary Services LLC Chiropractor Past Accepting new patients

Locations

1868 Highway 95
Bullhead City, AZ 86442
Phone (928) 763-8313

2840 Highway 95
Ste 420
Bullhead City, AZ 86442
Phone (928) 234-8007

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1811903008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 HIWAY 95",
            "address_2": "SUITE 420",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427792",
            "telephone_number": "928-234-8007",
            "fax_number": "928-277-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HIWAY 95",
            "address_2": "SUITE 420",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427792",
            "telephone_number": "928-234-8007",
            "fax_number": "928-277-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "PATRICK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.