Richard Allen Beavers

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4609 Issued in NC

Practice address

2600 Oakcrest Ave Ste B
Greensboro, NC 27408-1935

Phone

(336) 282-9886

Fax

(336) 282-9780

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• DRS Beavers and Keating

  • Endodontics
  • Greensboro, NC
  • NPI 1598816480
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124179098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-282-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-282-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "4609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Grace Beaupre, MS, LCMHCA, NCC
• Sheryl Beauregard, MS, RD, LDN
• Beautiful Beginnings Services. LLC
• Charles Macdonald Beavers, D.D.S.
• Kimberly Lorraine Beavers, M.D.
• Alise Beccaria, DAC, L.AC.
• Judy Hensley Beck-Sieg, ANRN, BC (NP)
• Anna G Becker
• Jennifer Peri Becker, MS, LCMHCS
• Kelley Becker

• Endodontics in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.