NPIMap

Organization Active NPI

Beach View Dental Sleep Therapy

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1316359649
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2394-96 Issued in MS
Legal business name
BEACH VIEW DENTAL SLEEP THERAPY
Practice address
1924 E Pass Rd
Gulfport, MS 39507-3715
Phone
(228) 896-1840
Fax
(228) 604-4449
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Andrea Elenbaas, D.M.D.
Title
Owner/Dentist
Phone
(228) 896-1840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2394-96 MS Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2260-86 MS

Addresses

Primary practice location

1924 E Pass Rd
Gulfport, MS 39507-3715

Mailing address

1924 E Pass Rd
Gulfport, MS 39507-3715
Phone (228) 896-1840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1316359649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073715",
            "telephone_number": "228-896-1840",
            "fax_number": "228-604-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073715",
            "telephone_number": "228-896-1840",
            "fax_number": "228-604-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH VIEW DENTAL SLEEP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "ELENBAAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "228-896-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2394-96",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2260-86",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.