Individual provider Active NPI

Zach Beatty, D.C

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1871947770
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33549 Issued in CA
Practice address
7822 Convoy CT
San Diego, CA 92111-1210
Phone
(858) 997-8203
NPI assigned
Apr 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33549 CA Primary

Addresses

Primary practice location

7822 Convoy CT
San Diego, CA 92111-1210

Mailing address

7822 Convoy CT
San Diego, CA 92111-1210
Phone (858) 997-8203

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drzach@gonsteadchiropractic-Sd.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629002783 CA Practitioner - Chiropractic 8820380421 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7822 Convoy CT
San Diego, CA 92111-1210
Phone (858) 997-8203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33549CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beatty Chiropractic, Inc. Chiropractor CurrentSince Jun 2, 2022 Accepting new patients

Locations

7822 Convoy Ct
San Diego, CA 92111
Phone (619) 571-0697

Organizations & group practices 1

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1871947770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 CONVOY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111210",
            "telephone_number": "858-997-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 CONVOY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111210",
            "telephone_number": "858-997-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ZACH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drzach@gonsteadchiropractic-Sd.com",
            "affiliation": "N",
            "address_1": "7822 Convoy Ct",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921111210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.