Active NPI
Beata Regina Devirion, DDS
- General Practice Dentistry
- Mt Prospect, IL
National Provider Identifier
1154493187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019022981
- Practice address
- 250 W Kensington Rd
Suite 3a
Mt Prospect, IL 60056-1293 - Phone
- (847) 253-7070
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019022981 | IL | Primary |
Addresses
Primary practice location
250 W Kensington Rd
Suite 3a
Mt Prospect, IL 60056-1293
Mailing address
250 W Kensington Rd
Suite 3a
Mt Prospect, IL 60056-1293
Phone (847) 253-7070
Other names 1
- Beata Regina Devirion
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019022981 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1154493187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W KENSINGTON RD",
"address_2": "SUITE 3A",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600561293",
"telephone_number": "847-253-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W KENSINGTON RD",
"address_2": "SUITE 3A",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600561293",
"telephone_number": "847-253-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVIRION",
"first_name": "BEATA",
"middle_name": "REGINA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019022981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATA",
"last_name": "DEVIRION",
"middle_name": "REGINA",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.