Individual provider Active NPI

David Beck, DC

  • Chiropractor
  • Morristown, NJ
National Provider Identifier
1992883698
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00614300 Issued in NJ
Practice address
12 James St
Morristown, NJ 07960-5942
Phone
(973) 683-1110
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00614300 NJ Primary

Addresses

Primary practice location

12 James St
Morristown, NJ 07960-5942

Mailing address

12 James St
Morristown, NJ 07960-5942
Phone (973) 683-1110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000386 NJ Practitioner - Chiropractic 1153369681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Wellness and Therapy Center LLCGroup PAC ID 0749343010, 2 clinicians

Practice addresses (Care Compare)

20 Waverly PL
2ND Floor Rear
Madison, NJ 07940-1899
Phone (973) 683-1110

777 Ave C
Bayonne, NJ 07002-2844
Phone (201) 436-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00614300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wellness and Therapy Center LLC Chiropractor CurrentSince Dec 10, 2019 Accepting new patients
David Beck DC LLC CurrentSince Sep 1, 2010 Accepting new patients
Eastland Chiropractic PSC Chiropractor Past Accepting new patients

Locations

777 Avenue C
Bayonne, NJ 07002
Phone (201) 436-0911

20 Waverly Pl
Ste 2
Madison, NJ 07940
Phone (973) 683-1110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1992883698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JAMES ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605942",
            "telephone_number": "973-683-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JAMES ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605942",
            "telephone_number": "973-683-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00614300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.