Individual provider Active NPI

Beenash Anwer, DMD

  • Pediatric Dentistry
  • Elizabethtown, KY
National Provider Identifier
1225484173
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9787 Issued in KY
Practice address
103 Financial PL Ste 101
Elizabethtown, KY 42701-4470
Phone
(270) 600-7337
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 9787 KY Primary

Addresses

Primary practice location

103 Financial PL Ste 101
Elizabethtown, KY 42701-4470

Mailing address

103 Financial PL Ste 101
Elizabethtown, KY 42701-4470
Phone (270) 600-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160830001900 KY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1456646439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Pediatric Dentistry Pediatric Dentistry CurrentSince Jan 1, 2020 Accepting new patients

Locations

103 Financial Pl
Ste 101
Elizabethtown, KY 42701
Phone (270) 600-7337

103 Financial Pl
Ste 200
Elizabethtown, KY 42701

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1225484173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWER",
        "first_name": "BEENASH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.