Active NPI
Beavercreek Dental Care Inc
- Dental Clinic/Center
- Beavercreek, OH
National Provider Identifier
1326680133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@bestdentistbeavercreek.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Beavercreek, OH
- NPI 1912485921
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
- Ryan Michael Beauchamp, PHARMD
- Beautifully Aligned Wellness, LLC
- Beavercreek Chiropractic & Injury Treatment Ctr., Inc.
- Beavercreek Chiropractic Clinic Inc
- Beavercreek City School District
- Beavercreek Dermatology LLC
- Beavercreek Endodontics- Emily Lammers DDS Ms Inc.
- Beavercreek Family Care Associates LTD
- Beavercreek Family Dental Gregory J Austria DDS LLC
- Beavercreek Family Health Center LLC
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.