Frank Beavers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30079 Issued in CA

Practice address

2643 Appian Way Ste B
Pinole, CA 94564-2253

Phone

(510) 758-0900

Fax

(510) 758-0901

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gurjit Randhawa Dental, Inc.

  dba Pinole Hills Dental

  • Dental Clinic/Center
  • Pinole, CA
  • NPI 1346832979
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023238292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HARDIE DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561103",
            "telephone_number": "925-376-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 APPIAN WAY STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642253",
            "telephone_number": "510-758-0900",
            "fax_number": "510-758-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eugene Batts, M.D.
• Bay Area Hearing Services
• Bay Area Laser Surgery Center, a Medical Corporation
• Bay Area Surgical Associates, LLC
• Bay Area Surgical Specialists, Inc. a Medical Corporation
• Maria Jose Bendana
• Elinor Anne Benefield
• Karen Joanne Benjamin, LCSW
• Amitabh K. Bharadwaj, MD
• Yadvinder Singh Bhullar

• General Practice Dentistry in Pinole, CA
• Providers in Pinole, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.