Individual provider Active NPI

Molly Beutel, DDS

  • Dentist
  • Akron, OH
National Provider Identifier
1396854964
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-021926 Issued in OH
Practice address
1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone
(330) 724-5471
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-021926 OH Primary

Addresses

Primary practice location

1400 S Arlington St Unit 38
Akron, OH 44306-3771

Mailing address

PO Box 933132
Cleveland, OH 44193-0001
Phone (330) 724-5471

Other practice location 1

1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone (888) 975-9188

Other identifiers 2

IdentifierTypeStateIssuer
341609341036OtherOHCARESOURCE
2550476MedicaidOH

Other names 1

  • Molly McLaughlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150527000376 OH Order and Referring Only - DentistPractitioner - Dentist 8729308101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-021926OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Health and Dental Center, Inc Past Accepting new patients
Lifecare Family Health and Dental Center, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1396854964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933132",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "330-724-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST UNIT 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063771",
            "telephone_number": "330-724-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Arlington St Unit 38",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443063771",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEUTEL",
        "first_name": "MOLLY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-021926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341609341036",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MCLAUGHLIN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.