Individual provider Active NPI

Ana Beyra, D.D.S

  • Dentist
  • Cape Coral, FL
National Provider Identifier
1205295763
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22974 Issued in FL
Practice address
316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Phone
(239) 226-4620
Fax
(239) 458-2267
NPI assigned
Feb 12, 2016
Last updated
Oct 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22974 FL Primary

Addresses

Primary practice location

316 Del Prado Blvd S
Cape Coral, FL 33990-1710

Mailing address

P.O Box 1357
Fort Myers, FL 33902
Phone (239) 278-3600

Other identifiers 1

IdentifierTypeStateIssuer
022225100MedicaidFL

Other names 1

  • Ana Rosa Beyra-Matos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171104000250 FL Order and Referring Only - DentistPractitioner - Dentist 9537425780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1205295763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1357",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33902",
            "telephone_number": "239-278-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901710",
            "telephone_number": "239-226-4620",
            "fax_number": "239-458-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYRA",
        "first_name": "ANA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022225100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "BEYRA-MATOS",
            "middle_name": "ROSA",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.