BEACH CHIROPRACTIC ARTS CENTER PC (NPI# 1639497233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639497233 |
| Entity Type | Organization |
| Organization Name | BEACH CHIROPRACTIC ARTS CENTER PC |
| Practice Address |
1835 E Military Ave Ste 107 Fremont NE 68025-5477 |
| Mailing Address |
1835 E Military Ave Ste 107 Fremont NE 68025-5477 |
| Practice Telephone | 4027211190 |
| Practice Fax Number | 4027211199 |
| Mailing Telephone | 4027211190 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | DR. RANDALL R BEACH (OWNER/D.C.) |
| Authorized Official Telephone | 4027211190 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 690 | NE | Chiropractic Providers |
| Street Address |
1835 E MILITARY AVE STE 107 |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-5477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598891624 | Gordy J Whitcomb | Counselor | 1835 E Military Ave, Suite 111, Fremont, NE 68025-5477 | 2007-02-25 |
| 1316422694 | Albert Behavioral Health LLC | Clinic/Center | 1835 E Military Ave, Fremont, NE 68025-5477 | 2018-10-02 |
| 1922212570 | Priscilla A. Wilson | Counselor | 1835 E Military Ave, Suite 111, Fremont, NE 68025-5477 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595762 | Haynes Chiropractic | Chiropractor | 3775 Beacon Ave Ste 200, Fremont, CA 94538-1466 | 2020-10-13 |
| 1720626062 | Kevin A Bruinsma | Chiropractor | 43344 Mission Blvd, Fremont, CA 94539-5829 | 2019-12-17 |
| 1861950081 | Frank Alexios Lee | Chiropractor | 39420 Liberty St Ste 160, Fremont, CA 94538-2296 | 2019-03-06 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1982138731 | Christopher Morrow | Chiropractor | 3040 Beard Rd, Fremont, CA 94555-1470 | 2017-04-19 |
| 1316393754 | Ashley Chen | Chiropractor | 40668 Canyon Heights Dr, Fremont, CA 94539-3886 | 2016-05-04 |
| 1407155203 | Mohamed Sayed El-shimey | Chiropractor | 3100 Capitol Ave Ste C, Fremont, CA 94538-1527 | 2011-03-18 |
| 1831497965 | Sino-legacy Acupuncture Clinic | Chiropractor | 46164 Warm Springs Blvd, Unit 266, Fremont, CA 94539-7985 | 2011-03-14 |
| 1992012678 | Shafiq Ansari | Chiropractor | 200 Brown Rd Ste 112, Fremont, CA 94539-7984 | 2010-09-01 |
| 1750693610 | Patrick Joseph Walter | Chiropractor | 39355 California St Ste 106, Fremont, CA 94538-1447 | 2010-07-08 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.