Organization Active NPI

Beemer Dentistry, PA

  • General Practice Dentistry
  • Anderson, SC
National Provider Identifier
1134472699
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03245 Issued in SC
Legal business name
BEEMER DENTISTRY, PA
Practice address
1512 N Fant St
Anderson, SC 29621-4708
Phone
(864) 622-1313
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Jessica Holland
Title
Office Staff
Phone
(864) 622-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 03245 SC Primary

Addresses

Primary practice location

1512 N Fant St
Anderson, SC 29621-4708

Mailing address

1512 N Fant St
Anderson, SC 29621-4708

National Provider Directory

National Provider Directory

Locations

1512 N Fant St
Anderson, SC 29621
Phone (864) 622-1313

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1134472699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214708",
            "telephone_number": "864-622-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEMER DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "864-622-1313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "03245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.