Benjamin Ames Beach, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5780 Issued in LA

Practice address

910 Bert Kouns Industrial Loop
Shreveport, LA 71118-3410

Phone

(318) 686-7470

Fax

(318) 686-4505

NPI assigned

Sep 6, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benjamin a. Beach DDS and Ross H. Dies DDS Midcity, LLC

  dba Dental Specialists of Shreveport Bossier

  • Dental Clinic/Center
  • Shreveport, LA
  • NPI 1528615887
  NPD (past)
• Ross H Dies DDS and J Cody Cowen DDS a Dental LLC

  dba Shreveport Family Dental Care

  • Clinic/Center
  • Shreveport, LA
  • NPI 1447360524
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1174717805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183410",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183410",
            "telephone_number": "318-686-7470",
            "fax_number": "318-686-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "BENJAMIN",
        "middle_name": "AMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayou Imaging & Interventions, LLC
• Bayou Sleep MD LLC
• Bayou State Therapy
• Be You Outreach Center
• Karen Beabout, PA-C, MPAS
• Katie Melancon Beach, DDS
• Hadi Beaini, MD
• Ebony Caprice Beal-Collins
• Lauren Mitchell Beal
• Michael J. Beal, MD

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.