Organization Active NPI

Beauchamp Chiropractic

  • Chiropractor
  • Escanaba, MI
National Provider Identifier
1932500337
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010207 Issued in MI
Legal business name
BEAUCHAMP CHIROPRACTIC
Practice address
218 S 10TH St
Escanaba, MI 49829-3405
Phone
(612) 386-7709
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Dr. Travis Beauchamp, D.C.NPI 1821119934
Title
President
Phone
(612) 386-7709

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010207 MI Primary

Addresses

Primary practice location

218 S 10TH St
Escanaba, MI 49829-3405

Mailing address

218 S 10TH St
Escanaba, MI 49829-3405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002000160 MI Part B Supplier - Clinic/Group Practice 7810117488 Receives reassigned benefits from 1 practitioner
Practice locations: Escanaba, MI

National Provider Directory

National Provider Directory

Locations

218 S 10th St
Escanaba, MI 49829
Phone (906) 786-5520

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1932500337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S 10TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S 10TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293405",
            "telephone_number": "612-386-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUCHAMP CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-386-7709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.