Active NPI
Beena A. Dave, M.D.
- Internal Medicine Physician
- Denton, TX
National Provider Identifier
1376525675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G8688
- Practice address
- 3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865 - Phone
- (940) 382-4060
- Fax
- (940) 380-9282
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G8688 | TX | Primary |
Addresses
Primary practice location
3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865
Mailing address
3327 Colorado Blvd
Suite #200
Denton, TX 76210-6865
Phone (940) 382-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8688 | TX | MD | Internal Medicine Physician |
| G8687 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ketaki B. Dave, M.D., P.a. | Past | Accepting new patients | |
| Ajit Dave', M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Denton, TX
- NPI 1063613537
-
- Hematology & Oncology Physician
- Denton, TX
- NPI 1710124110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376525675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 COLORADO BLVD",
"address_2": "SUITE #200",
"city": "DENTON",
"state": "TX",
"postal_code": "762106865",
"telephone_number": "940-382-4060",
"fax_number": "940-380-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 COLORADO BLVD",
"address_2": "SUITE #200",
"city": "DENTON",
"state": "TX",
"postal_code": "762106865",
"telephone_number": "940-382-4060",
"fax_number": "940-380-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "BEENA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G8688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.