Individual provider Active NPI

Beth Ann Bureau, DDS

  • General Practice Dentistry
  • West Haven, CT
National Provider Identifier
1114091766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009456 Issued in CT
Practice address
655 Sawmill Rd
Westhaven, CT 06516
Phone
(203) 932-5818
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009456 CT Primary

Addresses

Primary practice location

655 Sawmill Rd
Westhaven, CT 06516

Mailing address

655 Sawmill Rd
Westhaven, CT 06516
Phone (203) 932-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150603002643 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002137999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009456CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bureau Family Dental Current Accepting new patients
Richard B. Feldman, D.P.M., LLC Past Accepting new patients
Soundental Assoc P.C. General Practice 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114091766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SAWMILL RD",
            "city": "WESTHAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SAWMILL RD",
            "city": "WESTHAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUREAU",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.