Katie Melancon Beach, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5838 Issued in LA

Practice address

910 Bert Kouns Industrial Loop
Shreveport, LA 71118

Phone

(318) 686-7470

Fax

(318) 686-4505

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Benjamin a. Beach DDS and Ross H. Dies DDS Midcity, LLC

  dba Dental Specialists of Shreveport Bossier

  • Dental Clinic/Center
  • Shreveport, LA
  • NPI 1528615887
  NPD (past)
• Ross H Dies DDS and J Cody Cowen DDS a Dental LLC

  dba Shreveport Family Dental Care

  • Clinic/Center
  • Shreveport, LA
  • NPI 1447360524
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1033300348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KATIE",
        "middle_name": "MELANCON",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayou Sleep MD LLC
• Bayou State Therapy
• Be You Outreach Center
• Karen Beabout, PA-C, MPAS
• Benjamin Ames Beach, D.D.S.
• Hadi Beaini, MD
• Ebony Caprice Beal-Collins
• Lauren Mitchell Beal
• Michael J. Beal, MD
• Calvin Beaner Sr.

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.