Organization Active NPI

JPB Healthcare PC

  • Chiropractor
  • Burlington, NC
National Provider Identifier
1821160052
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2769 Issued in NC
Legal business name
JPB HEALTHCARE PC
Practice address
2551 S Church St
Burlington, NC 27215-5203
Phone
(336) 586-0101
Fax
(336) 586-0109
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. John Patrick Beshel, DCNPI 1720084411
Title
Owner
Phone
(336) 586-0101

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 2769 NC Primary

Addresses

Primary practice location

2551 S Church St
Burlington, NC 27215-5203

Mailing address

PO Box 365
Elon, NC 27244-0365
Phone (336) 586-0101

Other identifiers 1

IdentifierTypeStateIssuer
89014KCMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909001123 NC Part B Supplier - Clinic/Group Practice 7911973953 Receives reassigned benefits from 3 practitioners
Practice locations: Burlington, NC

National Provider Directory

National Provider Directory

Locations

2551 S Church St
Burlington, NC 27215
Phone (336) 260-1140

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1821160052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272440365",
            "telephone_number": "336-586-0101",
            "fax_number": "336-586-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155203",
            "telephone_number": "336-586-0101",
            "fax_number": "336-586-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPB HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BESHEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-586-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014KC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.