David Boyd Beistline, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

100529 Issued in AK

Practice address

777 N Crusey St Ste B203
Wasilla, AK 99654-7100

Phone

(907) 376-2832

NPI assigned

Jul 15, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Central Valley Dental LLC

  • Dental Clinic/Center
  • Wasilla, AK
  • NPI 1326628082
  NPD Authorized official
• Denali Dental Care

  • Preferred Provider Organization
  • Anchorage, AK
  • NPI 1326580002
  NPD (past)
• Robert E. Warren, DDS, Apc

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1134347164
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1275917742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE B203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547100",
            "telephone_number": "907-378-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE B203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547100",
            "telephone_number": "907-376-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 N Seward Meridian Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547241",
            "country_code": "US",
            "telephone_number": "907-373-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEISTLINE",
        "first_name": "DAVID",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "100529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wasilla",
            "affiliation": "N",
            "address_1": "777 N Crusey St Ste B203",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Marie Beebe, LCSW
• Leandra Beech, DHAT
• Darilyn Beers
• Ralph Beers
• Behavioral Health Treatment Center
• Jolene Grace Beistline
• Jessica Lee Belk, CDCS
• Haley Morgan Bell, LMT
• Joseph T Bell II, M.D.
• Alex Trenton Beltz, PSS

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.