Individual provider Active NPI

Nia Beasley, DDS

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1144828203
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105632 Issued in CA
Practice address
3004 Gentilly Blvd
New Orleans, LA 70122-3808
Phone
(504) 435-1800
NPI assigned
Oct 12, 2020
Last updated
Dec 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105632 CA Primary

Addresses

Primary practice location

3004 Gentilly Blvd
New Orleans, LA 70122-3808

Mailing address

3004 Gentilly Blvd
New Orleans, LA 70122-3808
Phone (504) 435-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OpenDental Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105632CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1144828203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 GENTILLY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223808",
            "telephone_number": "504-435-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GENTILLY BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223808",
            "telephone_number": "504-435-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "NIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OpenDental",
            "affiliation": "N",
            "endpointDescription": "DentalSoftware",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OpenDental",
            "address_1": "4311 Clark Blvd Ste O",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780434167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.