Organization Active NPI

Beck Chiropractic Center, PA

  • Chiropractor
  • St Pauls, NC
National Provider Identifier
1942510177
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BECK CHIROPRACTIC CENTER, PA
Practice address
123 North Second Street
St Pauls, NC 28384
Phone
(910) 865-2100
Fax
(910) 865-2260
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Woodrow W Beck Jr., DC
Title
Chiropractor
Phone
(910) 739-5751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NC Primary

Addresses

Primary practice location

123 North Second Street
St Pauls, NC 28384

Mailing address

578 Farringdom St
Lumberton, NC 28358-2615
Phone (910) 739-5751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000017 NC Part B Supplier - Clinic/Group Practice 5698811016 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lumberton, NC; St Pauls, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dr W W Beck Jr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 N 2nd St
Saint Pauls, NC 28384
Phone (910) 865-2100

Practitioners & affiliated clinicians

Practitioners 4

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": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1942510177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 FARRINGDOM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582615",
            "telephone_number": "910-739-5751",
            "fax_number": "910-739-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NORTH SECOND STREET",
            "city": "ST PAULS",
            "state": "NC",
            "postal_code": "28384",
            "telephone_number": "910-865-2100",
            "fax_number": "910-865-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECK CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "910-739-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pauls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.