Individual provider Active NPI

John Bevins, D.C.

  • Chiropractor
  • Waverly, OH
National Provider Identifier
1891717518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1892 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0934172MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000102 OH Practitioner - Chiropractic 4284655796 Reassigns benefits to 1 organization

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
Bevins and Schork Chiropractic Clinic LTDGroup PAC ID 2668493172, 2 clinicians

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

LicenseStateTypeSpecialty
1892OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bevins & Schork Chiropractic Clinic LTD Chiropractor CurrentSince Jan 30, 2013 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.

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.

Verify at the official NPI Registry.