Organization Active NPI

Beecher Chiropractic & Wellness Center LLC

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1982923405
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OH2113 Issued in OH
Legal business name
BEECHER CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
428 Beecher Rd
Suite B
Gahanna, OH 43230-4562
Phone
(614) 855-5533
Fax
(614) 855-5566
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Joseph C. Iuvara, D.C.NPI 1194897967
Title
Doctor/Owner
Phone
(614) 855-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X OH2113 OH Primary

Addresses

Primary practice location

428 Beecher Rd
Suite B
Gahanna, OH 43230-4562

Mailing address

428 Beecher Rd
Suite B
Gahanna, OH 43230-4562
Phone (614) 855-5533

Other identifiers 1

IdentifierTypeStateIssuer
0182001MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000451 OH Part B Supplier - Clinic/Group Practice 4385773654 Receives reassigned benefits from 4 practitioners
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

428 Beecher Rd
Ste B
Gahanna, OH 43230
Phone (614) 855-5533

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1982923405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 BEECHER RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304562",
            "telephone_number": "614-855-5533",
            "fax_number": "614-855-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BEECHER RD",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304562",
            "telephone_number": "614-855-5533",
            "fax_number": "614-855-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHER CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "IUVARA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "614-855-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH2113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.