Organization Active NPI

Douglas E. Beilstein,D.D.S,

  • Dentist
  • Mansfield, OH
National Provider Identifier
1306017371
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DOUGLAS E. BEILSTEIN,D.D.S,
Practice address
1041 Cricket LN
Mansfield, OH 44906-4105
Phone
(419) 526-4249
Fax
(419) 526-2642
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Douglas E BeilsteinNPI 1518004647
Title
Owner
Phone
(419) 526-4249

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1041 Cricket LN
Mansfield, OH 44906-4105

Mailing address

1041 Cricket LN
Mansfield, OH 44906-4105
Phone (419) 526-4249

Other identifiers 1

IdentifierTypeStateIssuer
0250713MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Cricket Lane Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1306017371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064105",
            "telephone_number": "419-526-4249",
            "fax_number": "419-526-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064105",
            "telephone_number": "419-526-4249",
            "fax_number": "419-526-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS E. BEILSTEIN,D.D.S,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BEILSTEIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-526-4249",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.