Active NPI
Beaumont Family Chiropractic PLLC
- Chiropractor
- Raleigh, NC
National Provider Identifier
1992873236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3193
- Legal business name
- BEAUMONT FAMILY CHIROPRACTIC PLLC
- Practice address
- 1305 E Millbrook Rd
Ste C101
Raleigh, NC 27609-5400 - Phone
- (919) 871-0349
- Fax
- (919) 871-0359
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marion Earl Beaumont II, DC
- Title
- Doctor President
- Phone
- (919) 891-0349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3193 | NC | Primary |
Addresses
Primary practice location
1305 E Millbrook Rd
Ste C101
Raleigh, NC 27609-5400
Mailing address
1305 E Millbrook Rd
Ste C101
Raleigh, NC 27609-5400
Phone (919) 871-0349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085N6 | Medicaid | NC | |
| 085NC | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
1305 E Millbrook Rd
Ste C101
Raleigh, NC 27609
Phone (919) 850-2440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1992873236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E MILLBROOK RD",
"address_2": "STE C101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095400",
"telephone_number": "919-871-0349",
"fax_number": "919-871-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E MILLBROOK RD",
"address_2": "STE C101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095400",
"telephone_number": "919-871-0349",
"fax_number": "919-871-0359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUMONT FAMILY CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "BEAUMONT",
"authorized_official_first_name": "MARION",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "DOCTOR PRESIDENT",
"authorized_official_telephone_number": "919-891-0349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "3193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085N6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "085NC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.