Erin Teresa Beveridge, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101905 Issued in CA

Practice address

3535 Ross Ave Ste 300
San Jose, CA 95124-3054

Phone

(408) 267-2303

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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.

• Stephen Beveridge DDS Inc

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1215587787
  NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306362348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243054",
            "telephone_number": "408-267-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243054",
            "telephone_number": "408-267-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "ERIN",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "101905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Health Clinic
• Better Image Optometry Inc
• Tamila Betyaghoub, PHARMD
• Carla Betz, OTR/L
• Adorina Betzoomayeh
• Stephen Leigh Beveridge, DDS
• Egiyah Beverly
• Lakisha Beverly
• Patricia Kron Beyer, MFT
• Beytin and Guillett Chiropractic

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.