Active NPI
Gerard Jean-Luc Beauchamp, DMD
- Dentist
- Doral, FL
National Provider Identifier
1407556707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29137
- Practice address
- 9593 NW 41St St
Doral, FL 33178-2914 - Phone
- (305) 594-2022
- NPI assigned
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Dentist | 122300000X | DN29137 | FL | Primary |
Addresses
Primary practice location
9593 NW 41St St
Doral, FL 33178-2914
Mailing address
9408 NW 54TH Doral Circle LN
Doral, FL 33178-2048
Phone (305) 562-0374
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 |
|---|---|---|---|
| DN29137 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1407556707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 NW 54TH DORAL CIRCLE LN",
"city": "DORAL",
"state": "FL",
"postal_code": "331782048",
"telephone_number": "305-562-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9593 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331782914",
"telephone_number": "305-594-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP",
"first_name": "GERARD",
"middle_name": "JEAN-LUC",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-06",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.