Organization Active NPI

Beseman Chiropractic PA

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1912263906
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3030 Issued in MN
Legal business name
BESEMAN CHIROPRACTIC PA
Practice address
1712 Suburban Ave
Saint Paul, MN 55106-6632
Phone
(651) 776-3345
Fax
(651) 778-2347
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Rodney Arthur Beseman II, D.C.NPI 1194817056
Title
Chiropractor
Phone
(651) 776-3345

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
Chiropractor 111N00000X 3030 MN Primary

Addresses

Primary practice location

1712 Suburban Ave
Saint Paul, MN 55106-6632

Mailing address

1712 Suburban Ave
Saint Paul, MN 55106-6632
Phone (651) 776-3345

Other identifiers 3

IdentifierTypeStateIssuer
3C030BEOtherMNBCBS
908028700OtherMNMN HEALTH CARE
350002956OtherMNMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000296 MN Part B Supplier - Clinic/Group Practice 6305009960 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1698 Suburban Ave
Saint Paul, MN 55106
Phone (651) 776-3345

1712 Suburban Ave
Saint Paul, MN 55106
Phone (651) 776-3345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1912263906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066632",
            "telephone_number": "651-776-3345",
            "fax_number": "651-778-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066632",
            "telephone_number": "651-776-3345",
            "fax_number": "651-778-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESEMAN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "BESEMAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-776-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3C030BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH CARE",
            "identifier": "908028700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350002956",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.