Individual provider Active NPI

Luke Adam Beehner, D.D.S.

  • Dentist
  • Aurora, IL
National Provider Identifier
1316388994
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
003781875 Issued in IL
Practice address
1780 N Farnsworth Ave
Aurora, IL 60505-1576
Phone
(630) 898-3610
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 003781875 IL Primary

Addresses

Primary practice location

1780 N Farnsworth Ave
Aurora, IL 60505-1576

Mailing address

1780 N Farnsworth Ave
Aurora, IL 60505-1576
Phone (630) 898-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429001407 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345549085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003781875ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverfield Family Dental Current Accepting new patients

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1316388994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051576",
            "telephone_number": "630-898-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051576",
            "telephone_number": "630-898-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEHNER",
        "first_name": "LUKE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "003781875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.