Active NPI
Nathan Edward Beam, D.D.S.
- Endodontics
- Fort Mill, SC
National Provider Identifier
1104054550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7144
- Practice address
- 936 Market St
Suite 206
Fort Mill, SC 29708-6562 - Phone
- (803) 548-4400
- Fax
- (803) 548-4414
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3875 | WV | |
| Endodontics | 1223E0200X | 7144 | SC | Primary |
| Endodontics | 1223E0200X | 9190 | NC |
Addresses
Primary practice location
936 Market St
Suite 206
Fort Mill, SC 29708-6562
Mailing address
936 Market St
Suite 206
Fort Mill, SC 29708-6562
Phone (803) 548-4400
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 |
|---|---|---|---|
| 7144 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beam Endodontics | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Fort Mill, SC
- NPI 1922431600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1104054550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 MARKET ST",
"address_2": "SUITE 206",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086562",
"telephone_number": "803-548-4400",
"fax_number": "803-548-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 MARKET ST",
"address_2": "SUITE 206",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086562",
"telephone_number": "803-548-4400",
"fax_number": "803-548-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAM",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3875",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "7144",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "9190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.