Organization Active NPI

Beyond 35 LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mansfield, TX
National Provider Identifier
1285345736
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BEYOND 35 LLC
Practice address
1752 Broad Park Cir N Ste 100
Mansfield, TX 76063-7824
Phone
(817) 225-3223
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. Rosa Beck, DDSNPI 1497907240
Title
Ceo
Phone
(214) 458-0862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1752 Broad Park Cir N Ste 100
Mansfield, TX 76063-7824

Mailing address

1752 Broad Park Cir N Ste 100
Mansfield, TX 76063-7824
Phone (817) 225-3223

Other names 1

  • Mansfield Oral Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@mansfieldoralsurgery.com Direct

National Provider Directory

National Provider Directory

Locations

1752 Broad Park Cir N
Ste 100
Mansfield, TX 76063
Phone (817) 225-3223

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1285345736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637824",
            "telephone_number": "817-225-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637824",
            "telephone_number": "817-225-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND 35 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-458-0862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@mansfieldoralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1752 Broad Park Cir N Ste 100",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760637824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mansfield Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.