Individual provider Active NPI

Christopher Alan Beardall, D.C., L.AC.

  • Chiropractor
  • Canby, OR
National Provider Identifier
1982735528
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272836 Issued in OR
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
272836ORMDChiropractor
AC00432ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Beardall Acupuncture and Chiropractic, P.C. PastSince Jul 28, 2011 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.

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.

Verify at the official NPI Registry.