Elizabeth Baldwin Beals, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

61193 Issued in KS

Practice address

16093 W 135TH St Ste B
Olathe, KS 66062-1507

Phone

(913) 213-5641

NPI assigned

Jun 14, 2016

Last updated

May 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1356791974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16093 W 135TH ST STE B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16093 W 135TH ST STE B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621507",
            "telephone_number": "913-213-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALS",
        "first_name": "ELIZABETH",
        "middle_name": "BALDWIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61193",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "61193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Bates, SLP
• Maxwell Ryan Baum, DC
• Saroj A Bavishi, M.D.
• Jason Beach, COTA
• Kelly R Beale, LMSW
• Melissa Lynn Bean, NP-C, MSN, M.ED
• Ashley Rose Beaner, MS, RD, LD
• Matthew Beasley, LMSW
• Brenda Louise Beaty, DC
• William Chris Beaty, DC

• Periodontics in Olathe, KS
• Providers in Olathe, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.