Active NPI
Bettina T. McBeth, DMD
- General Practice Dentistry
- Gardners, PA
National Provider Identifier
1083737274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS022400L
- Practice address
- 3375 Carlisle Rd
Gardners, PA 17324-9603 - Phone
- (717) 677-7169
- Fax
- (717) 677-4069
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- 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 | DS022400L | PA | Primary |
Addresses
Primary practice location
3375 Carlisle Rd
Gardners, PA 17324-9603
Mailing address
3375 Carlisle Rd
Gardners, PA 17324-9603
Phone (717) 677-7169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725000421 | PA | Order and Referring Only - Dentist | 0749573004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022400L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083737274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 CARLISLE RD",
"city": "GARDNERS",
"state": "PA",
"postal_code": "173249603",
"telephone_number": "717-677-7169",
"fax_number": "717-677-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 CARLISLE RD",
"city": "GARDNERS",
"state": "PA",
"postal_code": "173249603",
"telephone_number": "717-677-7169",
"fax_number": "717-677-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBETH",
"first_name": "BETTINA",
"middle_name": "T.",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS022400L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardners, PA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.