Fred Beck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHOOO3132 Issued in FL

Practice address

1876 N University Dr
308 E
Plantation, FL 33322-4130

Phone

(954) 323-6688

Fax

(958) 782-1965

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962567594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 S OCEAN BLVD",
            "address_2": "#207",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627112",
            "telephone_number": "954-292-8279",
            "fax_number": "954-782-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 N UNIVERSITY DR",
            "address_2": "308 E",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224130",
            "telephone_number": "954-323-6688",
            "fax_number": "958-782-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO3132",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002238-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "CH0003132",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK LICENSE",
            "identifier": "X002238--1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Beaulieu, PA
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• Beautiful Smiles Plantation P.a.
• Beauty Mark Plastic Surgery, PA
• Bonnie Rae Beck, M.S.CCC
• Jaimie Beckman
• Faith Sherie Beerman, MSN ARNPC
• Bita C Behaeddin, MD
• Mohamed S Behairy, MD
• Robin Behar

• Chiropractor in Plantation, FL
• Providers in Plantation, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.