Organization Active NPI

Beaumont Family Chiropractic PLLC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1992873236
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3193 Issued in NC
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

Updated by the provider on Dec 7, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89085N6MedicaidNC
085NCOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.