Active NPI
Daniel Alfred Beals, M.D.
- Surgery Physician
- Huntington, WV
National Provider Identifier
1396701264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 15501
- Practice address
- 1600 Medical Center Dr Ste 2500
Huntington, WV 25701 - Phone
- (304) 691-1200
- Fax
- (304) 691-1287
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 15501 | WV | |
| Surgical Critical Care Physician | 2086S0102X | 35969 | KY | |
| Pediatric Surgery Physician | 2086S0120X | 15501 | WV | |
| Pediatric Surgery Physician | 2086S0120X | 35969 | KY | |
| Surgery Physician | 208600000X | 15501 | WV | Primary |
Addresses
Primary practice location
1600 Medical Center Dr Ste 2500
Huntington, WV 25701
Mailing address
1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-8722
Other practice location 1
2835 Fort Missoula Rd
Suite 301
Missoula, MT 59804-7423
Phone (406) 327-4279
Other practice location 2
2835 Fort Missoula Rd
Suite 301
Missoula, MT 59804-7423
Phone (406) 327-4279
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64011539 | Medicaid | KY | |
| 0000000539899 | Other | KY | ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel.beals@marshall.cernerdirect.com |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18863 | AL | MD | Pharmacist |
| 35969 | KY | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1396701264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 10TH AVE STE 304",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013579",
"telephone_number": "304-691-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR STE 2500",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-691-1200",
"fax_number": "304-691-1287"
}
],
"practiceLocations": [
{
"address_1": "2835 Fort Missoula Rd",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598047423",
"country_code": "US",
"telephone_number": "406-327-4279",
"fax_number": "406-327-5199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2835 Fort Missoula Rd",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598047423",
"country_code": "US",
"telephone_number": "406-327-4279",
"fax_number": "406-327-5199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEALS",
"first_name": "DANIEL",
"middle_name": "ALFRED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WV",
"license": "15501",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "KY",
"license": "35969",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "WV",
"license": "15501",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "KY",
"license": "35969",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "15501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64011539",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0000000539899",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel.beals@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1600 Medical Center Dr",
"address_2": "Suite 3500",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.