Devin Beach DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEVIN BEACH DC PLLC

Practice address

18 Lake St
Monroe, NY 10950-3504

Phone

(845) 782-5770

Fax

(845) 782-9061

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Reg Ollie Overman III

Title

Director of Business Operations

Phone

(410) 987-1304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Devin Beach

  • Chiropractor
  • Monroe, NY
  • NPI 1417354382
  Medicare reassignment NPD

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1831682848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503504",
            "telephone_number": "845-782-5770",
            "fax_number": "845-782-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503504",
            "telephone_number": "845-782-5770",
            "fax_number": "845-782-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVIN BEACH DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "OVERMAN",
        "authorized_official_first_name": "REG",
        "authorized_official_middle_name": "OLLIE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "410-987-1304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dembinsky
• Abraham Derman, DO
• Frances Deutsch, OTR/L
• Yetti Deutsch
• Devash Sales Inc.
• Michael Devito
• David Alter Diament, DMD
• Shannon Diehl, PA-C
• Michelle Dilorenzo
• Emily Anne Dimartino, MS, OTR/L

• Chiropractor in Monroe, NY
• Providers in Monroe, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.