Organization Active NPI

Michael W Beasley DDS PC

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1144661273
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6670 Issued in CO
Legal business name
MICHAEL W BEASLEY DDS PC
Practice address
6475 Wall St Ste 202
Colorado Springs, CO 80918-8341
Phone
(719) 216-2054
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Vicki Lee Beasley
Title
Operation Manager
Phone
(719) 216-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6670 CO Primary

Addresses

Primary practice location

6475 Wall St Ste 202
Colorado Springs, CO 80918-8341

Mailing address

6475 Wall St Ste 202
Colorado Springs, CO 80918-8341
Phone (719) 216-2054

National Provider Directory

National Provider Directory
Tax ID family
Michael W Beasley DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6475 Wall St
Ste 202
Colorado Springs, CO 80918
Phone (719) 216-2054

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1144661273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 WALL ST STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188341",
            "telephone_number": "719-216-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 WALL ST STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188341",
            "telephone_number": "719-216-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W BEASLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "719-216-2054"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.