Individual provider Active NPI

Zachary Gage Beddick, DC

  • Chiropractor
  • East Aurora, NY
National Provider Identifier
1952975898
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013457 Issued in NY
Practice address
2354 Two Rod Rd
East Aurora, NY 14052-9614
Phone
(724) 309-0246
NPI assigned
May 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013457 NY Primary

Addresses

Primary practice location

2354 Two Rod Rd
East Aurora, NY 14052-9614

Mailing address

2354 Two Rod Rd
East Aurora, NY 14052-9614
Phone (724) 309-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1952975898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 TWO ROD RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529614",
            "telephone_number": "724-309-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 TWO ROD RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529614",
            "telephone_number": "724-309-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDICK",
        "first_name": "ZACHARY",
        "middle_name": "GAGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.