Individual provider Active NPI

Douglas Charles Beemer, O.D.

  • Optometrist
  • Pierre, SD
National Provider Identifier
1316004575
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in SD
Practice address
100 W Capitol Ave
Pierre, SD 57501-2036
Phone
(605) 224-0404
Fax
(605) 224-8026
NPI assigned
Jan 3, 2007
Last updated
May 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 152W00000X SD Primary

Addresses

Primary practice location

100 W Capitol Ave
Pierre, SD 57501-2036

Mailing address

100 W Capitol Ave
Pierre, SD 57501-2036
Phone (605) 224-0404

Other identifiers 1

IdentifierTypeStateIssuer
9201332MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
152W00000XSDMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1316004575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "605-224-0404",
            "fax_number": "605-224-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "605-224-0404",
            "fax_number": "605-224-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMER",
        "first_name": "DOUGLAS",
        "middle_name": "CHARLES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201332",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.