Organization Active NPI

McBeth Dental

  • Dental Clinic/Center
  • Wheaton, IL
National Provider Identifier
1104310150
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019025533 Issued in IL
Legal business name
MCBETH DENTAL
Practice address
949 W Liberty Dr
Wheaton, IL 60187-4846
Phone
(630) 668-6071
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Gregory S McBeth, DDSNPI 1669500237
Title
President
Phone
(630) 668-6071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019025533 IL Primary

Addresses

Primary practice location

949 W Liberty Dr
Wheaton, IL 60187-4846

Mailing address

949 W Liberty Dr
Wheaton, IL 60187-4846
Phone (630) 668-6071

Other names 1

  • McBeth Dental Health of Wheaton Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1104310150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 W LIBERTY DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874846",
            "telephone_number": "630-668-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 W LIBERTY DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874846",
            "telephone_number": "630-668-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBETH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MCBETH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-668-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McBeth Dental Health of Wheaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.