Active NPI
Christopher Alan Beardall, D.C., L.AC.
- Chiropractor
- Canby, OR
National Provider Identifier
1982735528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272836
- Practice address
- 725 SE 1St Ave
Canby, OR 97013-3810 - Phone
- (503) 266-9300
- Fax
- (503) 213-6020
- NPI assigned
- Mar 7, 2007
- Last updated
- Oct 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272836 | OR | Primary |
| Acupuncturist | 171100000X | AC00432 | OR |
Addresses
Primary practice location
725 SE 1St Ave
Canby, OR 97013-3810
Mailing address
725 SE 1St Ave
Canby, OR 97013-3810
Phone (503) 266-9300
Other practice location 1
1551 N Pacific Hwy
Woodburn, OR 97071-3656
Phone (503) 982-6925
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272836 | OR | MD | Chiropractor |
| AC00432 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beardall Acupuncture and Chiropractic, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Woodburn, OR
- NPI 1487939039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1982735528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SE 1ST AVE",
"city": "CANBY",
"state": "OR",
"postal_code": "970133810",
"telephone_number": "503-266-9300",
"fax_number": "503-213-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 SE 1ST AVE",
"city": "CANBY",
"state": "OR",
"postal_code": "970133810",
"telephone_number": "503-266-9300",
"fax_number": "503-213-6020"
}
],
"practiceLocations": [
{
"address_1": "1551 N Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Woodburn",
"state": "OR",
"postal_code": "970713656",
"country_code": "US",
"telephone_number": "503-982-6925",
"fax_number": "503-213-6020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARDALL",
"first_name": "CHRISTOPHER",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C., L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "272836",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC00432",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.