Chantiste Beal, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57857 Issued in CA

Practice address

5010 S la Brea Ave
Suite
Los Angeles, CA 90056-1800

Phone

(562) 381-5626

Fax

(310) 635-0117

NPI assigned

Nov 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chantiste Beal DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1396456976
  NPD Authorized official
• Chantiste Beal DDS Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1730556390
  NPD (past) Authorized official

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1356596704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 2ND AVE",
            "address_2": "SUITE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624561",
            "telephone_number": "562-381-5626",
            "fax_number": "310-635-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S LA BREA AVE",
            "address_2": "SUITE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561800",
            "telephone_number": "562-381-5626",
            "fax_number": "310-635-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "CHANTISTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Community Medical Center, Inc.
• Beacon Outreach Initiatives LLC
• Peter Yonger Salam Beah, MD
• Omer E Beaird, MD
• Michelle Beakey
• Keri Beal
• Lincoln Beal
• Michael Alexander Beal, MD
• Patricia Ann Beal, LMFT
• Elizabeth Ogden Beale

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.