Organization Active NPI

Beebe Family Dentistry, PA

  • General Practice Dentistry
  • Beebe, AR
National Provider Identifier
1386801843
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3214 Issued in AR
Legal business name
BEEBE FAMILY DENTISTRY, PA
Practice address
102 N Main St
Beebe, AR 72012-3046
Phone
(501) 882-5491
Fax
(501) 882-5271
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Robert W Beavers, DDSNPI 1750397881
Title
Owner
Phone
(501) 882-5491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3214 AR Primary

Addresses

Primary practice location

102 N Main St
Beebe, AR 72012-3046

Mailing address

102 N Main St
Beebe, AR 72012-3046
Phone (501) 882-5491

Other identifiers 1

IdentifierTypeStateIssuer
156165631MedicaidAR

National Provider Directory

National Provider Directory

Locations

102 N Main St
Beebe, AR 72012
Phone (501) 882-5491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1386801843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720123046",
            "telephone_number": "501-882-5491",
            "fax_number": "501-882-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720123046",
            "telephone_number": "501-882-5491",
            "fax_number": "501-882-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEBE FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-882-5491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156165631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.