Individual provider Active NPI

Megan Leigh Beuckens, D.D.S.

  • Dentist
  • Minneapolis, MN
National Provider Identifier
1215197462
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12555 Issued in MN
Practice address
1660 Highway 100 S
Suite 122
Minneapolis, MN 55416-1529
Phone
(952) 544-4129
Fax
(952) 544-7489
NPI assigned
Jun 11, 2008
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12555 MN Primary

Addresses

Primary practice location

1660 Highway 100 S
Suite 122
Minneapolis, MN 55416-1529

Mailing address

1660 Highway 100 S
Suite 122
Minneapolis, MN 55416-1529
Phone (952) 544-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150706000615 MN Order and Referring Only - DentistPractitioner - Dentist 6800064700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West End Dental PLLC Past Accepting new patients
Nancy a Norling DDS PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1215197462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 122",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-544-4129",
            "fax_number": "952-544-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 122",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-544-4129",
            "fax_number": "952-544-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUCKENS",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.