Organization Active NPI

Dr. Chris S. Beckwith, PC

  • Chiropractor
  • Moline, IL
National Provider Identifier
1952426652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. CHRIS S. BECKWITH, PC
Practice address
3440 38TH Ave
Suite #1
Moline, IL 61265-6409
Phone
(309) 764-4004
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher S. Beckwith, DCNPI 1699843433
Title
President
Phone
(309) 764-4004

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

3440 38TH Ave
Suite #1
Moline, IL 61265-6409

Mailing address

3440 38TH Ave
Suite #1
Moline, IL 61265-6409
Phone (309) 764-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151117000881 IA Part B Supplier - Clinic/Group Practice 8628098985 Receives reassigned benefits from 1 practitioner
Practice locations: Bettendorf, IA

National Provider Directory

National Provider Directory

Locations

3481 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 345-1111

3440 38th Ave
Ste 1
Moline, IL 61265
Phone (309) 764-4004

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952426652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 38TH AVE",
            "address_2": "SUITE #1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656409",
            "telephone_number": "309-764-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 38TH AVE",
            "address_2": "SUITE #1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656409",
            "telephone_number": "309-764-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHRIS S. BECKWITH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-764-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.