Jay R Beagle, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12008366A Issued in IN

Practice address

3003 E 98TH St Ste 200
Indianapolis, IN 46280-1973

Phone

(317) 843-1281

Fax

(317) 574-9390

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Periodontal & Dental Implant Specialists

  • Periodontics
  • Carmel, IN
  • NPI 1801412564
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427067289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801973",
            "telephone_number": "317-843-1281",
            "fax_number": "317-574-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E 98TH ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801973",
            "telephone_number": "317-843-1281",
            "fax_number": "317-574-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGLE",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12008366A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Beach
• Tessa Marie Beach
• Amanda Beache
• Kathleen Judith Beache, DDS
• Jennifer Mariko Izumi Beachy, MD
• Paul Beaineh
• Bonnie Gail Beal, OTR CHT
• Kyle Alan Beal, RPH
• Jenna Beale, LMHC
• Joseph Landon Beales

• Periodontics in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.