Individual provider Active NPI

David Alan Besley, DDS

  • Dentist
  • Verona, WI
National Provider Identifier
1073764783
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6318-15 Issued in WI
Practice address
109 E Verona Ave
Verona, WI 53593-1218
Phone
(608) 497-1490
Fax
(608) 497-1492
NPI assigned
Oct 1, 2008
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6318-15 WI Primary

Addresses

Primary practice location

109 E Verona Ave
Verona, WI 53593-1218

Mailing address

109 E Verona Ave
Verona, WI 53593-1218
Phone (608) 497-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009000495 WI Order and Referring Only - DentistPractitioner - Dentist 0749555357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6318-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Adler DDS SC Dentist Past Accepting new patients
Mt Horeb Dental Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1073764783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931218",
            "telephone_number": "608-497-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931218",
            "telephone_number": "608-497-1490",
            "fax_number": "608-497-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESLEY",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6318-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.