Beau Austin Mauldin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4835 Issued in CO

Practice address

742 A Tenacity Drive
Longmont, CO 80504-7005

Phone

(720) 331-5756

Fax

(303) 774-9509

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rejuv Health Makeovers

  • Chiropractor
  • Longmont, CO
  • NPI 1164726303
  Authorized official Same address or phone
• Integrity Chiropractic LLC

  • Chiropractor
  • Thornton, CO
  • NPI 1124365010
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1972544229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 A TENACITY DRIVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047005",
            "telephone_number": "720-331-5756",
            "fax_number": "303-774-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 A TENACITY DRIVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047005",
            "telephone_number": "720-331-5756",
            "fax_number": "303-774-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "BEAU",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Matheson, PHD
• Regina Matranga, MA CF-SLP
• Matthew I Ehrlich MD PC (Ehrlich Laser Eye Center)
• Linda Fonseca Matthews, M.D.
• Megan Ann Matus, PT, DPT
• Daniel James Maurer, DDS
• James A Maurer, DDS
• Margaret Maurer
• Tanna Maurer, PT, DPT
• Peter A Maves, PH.D.

• Chiropractor in Longmont, CO
• Providers in Longmont, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.