NPIMap

Organization Active NPI

Beacon Dental PC

  • Dental Clinic/Center
  • Beacon, NY
National Provider Identifier
1174224752
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEACON DENTAL PC
Practice address
1020 Wolcott Ave
Beacon, NY 12508-3636
Phone
(845) 838-3666
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Hongli Wang, DDSNPI 1063505196
Title
President
Phone
(845) 800-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1020 Wolcott Ave
Beacon, NY 12508-3636

Mailing address

1020 Wolcott Ave
Beacon, NY 12508-3636

National Provider Directory

National Provider Directory

Locations

1020 Wolcott Ave
Beacon, NY 12508
Phone (845) 838-3666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1174224752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOLCOTT AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOLCOTT AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083636",
            "telephone_number": "845-838-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HONGLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-800-3316",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.