Active NPI
James C Beall, DDS
- Pediatric Dentistry
- North Charleston, SC
National Provider Identifier
1396775763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30-1785
- Practice address
- 7465 Northside Dr
North Charleston, SC 29420-4209 - Phone
- (843) 797-5400
- Fax
- (843) 797-5164
- NPI assigned
- Jul 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30-1785 | SC | Primary |
Addresses
Primary practice location
7465 Northside Dr
North Charleston, SC 29420-4209
Mailing address
7465 Northside Dr
North Charleston, SC 29420-4209
Phone (843) 797-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z17857 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-1785 | SC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1396775763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7465 NORTHSIDE DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294204209",
"telephone_number": "843-797-5400",
"fax_number": "843-797-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7465 NORTHSIDE DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294204209",
"telephone_number": "843-797-5400",
"fax_number": "843-797-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALL",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "30-1785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z17857",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.