Active NPI
Natasja Bevans, DMD
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1114379898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8760
- Practice address
- 109 Augusta St
Greenville, SC 29601-3503 - Phone
- (864) 214-4242
- NPI assigned
- Jul 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 22044 | FL | |
| General Practice Dentistry | 1223G0001X | 8760 | SC | Primary |
Addresses
Primary practice location
109 Augusta St
Greenville, SC 29601-3503
Mailing address
109 Augusta St
Greenville, SC 29601-3503
Phone (864) 214-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20180119001619 | SC | Order and Referring Only - Dentist | 7012276090 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 22044 | FL | MD | Dentist |
| 8760 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bijou Dental LTD Co | Current | Accepting new patients | |
| Next DNTL | Past | Accepting new patients |
Locations
109 Augusta St
Greenville, SC 29601
Phone (864) 214-4242
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Greenville, SC
- NPI 1316536527
-
- Dental Clinic/Center
- Greenville, SC
- NPI 1760160196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1114379898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 AUGUSTA ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013503",
"telephone_number": "864-214-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 AUGUSTA ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013503",
"telephone_number": "864-214-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVANS",
"first_name": "NATASJA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 22044",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.