Nathan K. Beavers DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NATHAN K. BEAVERS DMD PLLC

Practice address

312 Fountains Dr
Madison, MS 39110-6384

Phone

(601) 856-5313

Fax

(601) 856-5552

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Anne Marie Currie Hreish, DDSNPI 1194465781

Title

Dentist

Phone

(601) 856-5313

Specialties & licenses 1

Addresses

Other names 1

• Beavers Pediatric Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Marie Currie Hreish

  • Pediatric Dentistry
  • Madison, MS
  • NPI 1194465781
  NPD Authorized official
• Nathan Keil Beavers, D.M.D.

  • Pediatric Dentistry
  • Madison, MS
  • NPI 1790849404
  NPD

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1003138967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 FOUNTAINS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106384",
            "telephone_number": "601-856-5313",
            "fax_number": "601-856-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FOUNTAINS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106384",
            "telephone_number": "601-856-5313",
            "fax_number": "601-856-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN K. BEAVERS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "CURRIE HREISH",
        "authorized_official_first_name": "ANNE MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-856-5313",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beavers Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beavers Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ms Dept of Rehab Services(Disability Determination Services)
• Richard Louis Muirhead II, NP
• Taylor Lee Muncy, PSYD
• Mitchell Brent Myers
• Napdocs LLC
• NC Leasing, LLC
• Margaux Antoine Nelms, AU.D.
• Newcare MD, LLC
• Clara Newton, MS, PLPC, NCC
• Lam Thi Nguyen

• Pediatric Dentistry in Madison, MS
• Providers in Madison, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.