Paul E Beavers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3892 Issued in NC

Practice address

619 W Chatham St
Apex, NC 27502-1415

Phone

(919) 362-0967

Fax

(919) 355-1551

NPI assigned

Jan 11, 2007

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

Other identifiers 1

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) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144370107",
    "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": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990552",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beavers and Beavers D.D.S., P.a.
• Jonathan P Beavers, D.D.S
• Karen Goodman Beavers, M.ED, ITFS
• Leah G Beavers, DDS
• Mark E Beavers, D.D.S
• Macie Elizabeth Bell, COTA/L
• Nadana Benain, M.S., CCC-SLP, TSSLD
• Heather Benham
• Allison Marie Bennett, MS OTR-L
• Nicole Denise Benson

• General Practice Dentistry in Apex, NC
• Providers in Apex, NC by specialty
• General Practice Dentistry 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.
• 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.