NPI Code Detail JSON Logo

1982112793 NPI number — KEITH BEACHY DC

NPI Number: 1982112793
Health Care Provider/Practitioner: KEITH BEACHY DC

Information about “1982112793” NPI (KEITH BEACHY DC) exists in 1982112793 in HTML format HTML  |  1982112793 in plain Text format TXT  |  1982112793 in PDF (Portable Document Format) PDF  |  1982112793 in an XML format XML  formats.

NPI Number : 1982112793 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982112793",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEACHY",
    "FirstName": "KEITH",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15400 CHENAL PARKWAY STE 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72211-2297",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-400-7700",
    "MailingAddressFaxNumber": "501-244-3784",
    "FirstLinePracticeLocationAddress": "15400 CHENAL PARKWAY STE 120",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72211-2297",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-400-7700",
    "PracticeLocationAddressFaxNumber": "501-244-3784",
    "EnumerationDate": "01/15/2018",
    "LastUpdateDate": "12/28/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "16184",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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