BECK CHIROPRACTIC PROFESSIONAL CORPORATION (NPI# 1205072782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205072782 |
| Entity Type | Organization |
| Organization Name | BECK CHIROPRACTIC PROFESSIONAL CORPORATION |
| Other Organization Name | BECK CHIROPRACTIC PC |
| Practice Address |
6 Petaluma Blvd N Ste B8 Petaluma CA 94952-3051 |
| Practice Telephone | 7077666363 |
| Practice Fax Number | 7077666218 |
| Mailing Telephone | 7077666363 |
| Mailing Fax Number | 7077666218 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | JASON P BECK (PRESIDENT) |
| Authorized Official Telephone | 7077666363 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 28208 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP PTAM # | ZZZ021402 | 01 |
| CA | MEDICARE | DC028080 | 01 |
| CA | INDIVIDUAL NPI # | 1700813540 | 01 |
| Other Name | Type Code |
|---|---|
| Beck Chiropractic PC | Doing Business As Name - Organization |
| Street Address |
6 PETALUMA BLVD N STE B8 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1003272022 | Battaglino Family Chiropractic | Chiropractor | 620 Petaluma Blvd N, Ste. B, Petaluma, CA 94952-2869 | 2016-01-06 |
| 1568873040 | Wendy Ann Staples Hicks | Chiropractor | 1445 Technology Ln, Ste A3, Petaluma, CA 94954-7613 | 2014-05-18 |
| 1396187985 | Anna F Curto | Chiropractor | 225 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2013-07-23 |
| 1790914125 | Amy Dilena | Chiropractor | 129 Keller St, Suite C, Petaluma, CA 94952-2314 | 2009-07-07 |
| 1124264858 | David Dean Donaldson | Chiropractor | 709 Petaluma Blvd N # B, Petaluma, CA 94952-2106 | 2008-12-30 |
| 1457545089 | Donna Pontrello | Chiropractor | 1112 B St, Petaluma, CA 94952-4054 | 2007-08-27 |
| 1952502437 | Michelle Denise Arietta | Chiropractor | 1197 E Washington St, Petaluma, CA 94952-3383 | 2007-05-30 |
| 1801097746 | Restad Chiropractic, Inc. | Chiropractor | 1301 Redwood Way Ste 150, Petaluma, CA 94954-1136 | 2007-05-29 |
| 1609083179 | Steven Gerald Jones | Chiropractor | 406 Petaluma Blvd S, Petaluma, CA 94952-4247 | 2007-05-16 |
| 1669698809 | Daniel E. Marsh | Chiropractor | 231 N Mcdowell Blvd Ste B, Petaluma, CA 94954-8300 | 2007-04-17 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on BECK CHIROPRACTIC PROFESSIONAL CORPORATION.
| 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.