Individual provider Active NPI

Roy M. Beam, DDS

  • Pediatric Dentistry
  • Riverside, CA
National Provider Identifier
1174642284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
42721 Issued in CA
Practice address
7001 Indiana Ave
Suite # 9
Riverside, CA 92506-4100
Phone
(951) 782-0093
Fax
(951) 782-0096
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 42721 CA Primary

Addresses

Primary practice location

7001 Indiana Ave
Suite # 9
Riverside, CA 92506-4100

Mailing address

7001 Indiana Ave
Suite # 9
Riverside, CA 92506-4100
Phone (951) 782-0093

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174642284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 INDIANA AVE",
            "address_2": "SUITE # 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064100",
            "telephone_number": "951-782-0093",
            "fax_number": "951-782-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 INDIANA AVE",
            "address_2": "SUITE # 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064100",
            "telephone_number": "951-782-0093",
            "fax_number": "951-782-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "ROY",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "42721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.