Organization Active NPI

Beavercreek Dental Care Inc

  • Dental Clinic/Center
  • Beavercreek, OH
National Provider Identifier
1326680133
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEAVERCREEK DENTAL CARE INC
Practice address
2141 N Fairfield Rd Suite a
Beavercreek, OH 45431
Phone
(937) 427-3131
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Opal Anderson
Title
Coo
Phone
(937) 427-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2141 N Fairfield Rd Suite a
Beavercreek, OH 45431

Mailing address

2141 N Fairfield Rd Suite a
Beavercreek, OH 45431
Phone (937) 427-3131

Other names 1

  • Mitakides DDS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@bestdentistbeavercreek.com

National Provider Directory

National Provider Directory

Locations

2141 N Fairfield Rd
Ste A
Beavercreek, OH 45431
Phone (937) 427-3131

Practitioners & affiliated clinicians

Practitioners 1

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": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1326680133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N FAIRFIELD RD SUITE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-427-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N FAIRFIELD RD SUITE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-427-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-427-3131"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@bestdentistbeavercreek.com",
            "affiliation": "N",
            "address_1": "2141 N Fairfield Rd Suite A",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mitakides DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitakides DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.