Organization Active NPI

David C Beams DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, IN
National Provider Identifier
1174633978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7320 Issued in IN
Legal business name
DAVID C BEAMS DDS PC
Practice address
1348 South Grandstaff Drive
Auburn, IN 46706-1262
Phone
(260) 925-6094
Fax
(260) 925-0159
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Heather L Pedersen
Title
Financial Manager
Phone
(260) 925-6094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7320 IN Primary

Addresses

Primary practice location

1348 South Grandstaff Drive
Auburn, IN 46706-1262

Mailing address

1348 South Grandstaff Drive
Auburn, IN 46706-1262
Phone (260) 925-6094

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174633978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 SOUTH GRANDSTAFF DRIVE",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061262",
            "telephone_number": "260-925-6094",
            "fax_number": "260-925-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 SOUTH GRANDSTAFF DRIVE",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061262",
            "telephone_number": "260-925-6094",
            "fax_number": "260-925-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C BEAMS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "260-925-6094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "7320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.