Active NPI
Dana Lee Beaini, DDS
- General Practice Dentistry
- Columbia, MO
National Provider Identifier
1053699165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2012015356
- Practice address
- 2401 Bernadette Dr
Suite 217
Columbia, MO 65203-4672 - Phone
- (573) 445-9405
- Fax
- (573) 445-9446
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2012015356 | MO | Primary |
Addresses
Primary practice location
2401 Bernadette Dr
Suite 217
Columbia, MO 65203-4672
Mailing address
2401 Bernadette Dr
Suite 217
Columbia, MO 65203-4672
Phone (573) 445-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012015356 | Other | MO | MISSOURI STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012015356 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1053699165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 BERNADETTE DR",
"address_2": "SUITE 217",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034672",
"telephone_number": "573-445-9405",
"fax_number": "573-445-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BERNADETTE DR",
"address_2": "SUITE 217",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034672",
"telephone_number": "573-445-9405",
"fax_number": "573-445-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAINI",
"first_name": "DANA",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2012015356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE DENTAL LICENSE",
"identifier": "2012015356",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.