Leah G Beavers, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5601 Issued in LA

Practice address

619 W Chatham St
Apex, NC 27502-1415

Phone

(919) 362-0967

Fax

(919) 355-1551

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beavers and Beavers D.D.S., P.a.

  • General Practice Dentistry
  • Apex, NC
  • NPI 1962552976
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1124080973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W CHATHAM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021415",
            "telephone_number": "919-362-0967",
            "fax_number": "919-355-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W CHATHAM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021415",
            "telephone_number": "919-362-0967",
            "fax_number": "919-355-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "LEAH",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1651885",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1856011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beali Home Care
• Cynthia L Beam, P.A.
• Beavers and Beavers D.D.S., P.a.
• Jonathan P Beavers, D.D.S
• Karen Goodman Beavers, M.ED, ITFS
• Mark E Beavers, D.D.S
• Paul E Beavers, D.D.S.
• Macie Elizabeth Bell, COTA/L
• Nadana Benain, M.S., CCC-SLP, TSSLD
• Heather Benham

• Dentist in Apex, NC
• Providers in Apex, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.

Verify at the official NPI Registry.