Active NPI
John Bevins, D.C.
- Chiropractor
- Waverly, OH
National Provider Identifier
1891717518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1892
- Practice address
- 505 W Emmitt Ave
Suite 2
Waverly, OH 45690-1083 - Phone
- (740) 941-4311
- Fax
- (740) 947-9884
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1892 | OH | Primary |
Addresses
Primary practice location
505 W Emmitt Ave
Suite 2
Waverly, OH 45690-1083
Mailing address
505 W Emmitt Ave
Suite 2
Waverly, OH 45690-1083
Phone (740) 941-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0934172 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 W Emmitt Ave
Suite 2
Waverly, OH 45690-1084
Phone (740) 940-4311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1892 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bevins & Schork Chiropractic Clinic LTD | Chiropractor | Current | Accepting new patients |
| Lawyer Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
Locations
505 W Emmitt Ave
Ste 2
Waverly, OH 45690
Phone (740) 940-4311
Organizations & group practices 2
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.
-
- Chiropractor
- Waverly, OH
- NPI 1710104005
-
- Chiropractor
- Portsmouth, OH
- NPI 1912955170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891717518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W EMMITT AVE",
"address_2": "SUITE 2",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901083",
"telephone_number": "740-941-4311",
"fax_number": "740-947-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W EMMITT AVE",
"address_2": "SUITE 2",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901083",
"telephone_number": "740-941-4311",
"fax_number": "740-947-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVINS",
"first_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0934172",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.