Provider Demographics
NPI:1972722767
Name:VANBEEST, JOHANN (D C, MBA)
Entity type:Individual
Prefix:DR
First Name:JOHANN
Middle Name:
Last Name:VANBEEST
Suffix:
Gender:M
Credentials:D C, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W ARBROOK BLVD
Mailing Address - Street 2:STE 330
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4327
Mailing Address - Country:US
Mailing Address - Phone:817-417-8782
Mailing Address - Fax:817-417-8766
Practice Address - Street 1:800 W ARBROOK BLVD
Practice Address - Street 2:STE 330
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4327
Practice Address - Country:US
Practice Address - Phone:817-417-8782
Practice Address - Fax:817-417-8766
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT16387Medicare UPIN