Nabil Beaini, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2009035935 Issued in MO

Practice address

201 W Broadway Ste 5a
Columbia, MO 65203-3842

Phone

(573) 443-0593

NPI assigned

Jan 17, 2012

Sex

Male

Sole proprietor

No

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 MO

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.

• Columbia Implants and Periodontics L.L.C.

  • Preferred Provider Organization
  • Columbia, MO
  • NPI 1710222476
  NPD (past) Authorized official

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1376814723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE 5A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE 5A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-443-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAINI",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2009035935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BDM Associates LLC
• BDM Associates LLC
• Ladonna Lee Beachy, LCSW
• Clay Beagles, MD, MBA
• Dana Lee Beaini, DDS
• Douglas Wayne Beal, M.D., M.S.H.A.
• Rachel Elizabeth Beanland
• Aaron Beard, M.S., CCC-SLP
• Daniel Garrison Beary, CRNA
• Angela Beasley, PA

• Periodontics in Columbia, MO
• Providers in Columbia, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.