Active NPI
Megan Kinkelaar Beam, DDS
- General Practice Dentistry
- Fairchance, PA
National Provider Identifier
1427465467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.024297
- Practice address
- 5 N. Morgantown St.
Fairchance, PA 15436 - Phone
- (724) 564-9010
- NPI assigned
- Jul 22, 2014
- Last updated
- Dec 7, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.024297 | OH | Primary |
Addresses
Primary practice location
5 N. Morgantown St.
Fairchance, PA 15436
Mailing address
5 N. Morgantown St.
Fairchance, PA 15436
Phone (724) 564-9010
Other names 1
- Megan Renee Kinkelaar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 21, 2015 through Jul 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024297 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1427465467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N. MORGANTOWN ST.",
"city": "FAIRCHANCE",
"state": "PA",
"postal_code": "15436",
"telephone_number": "724-564-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N. MORGANTOWN ST.",
"city": "FAIRCHANCE",
"state": "PA",
"postal_code": "15436",
"telephone_number": "724-564-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAM",
"first_name": "MEGAN",
"middle_name": "KINKELAAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.024297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "KINKELAAR",
"middle_name": "RENEE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairchance, PA
- All American Sleep Alternatives LLC
- Amadee B Merbedone DDS Inc
- Beam Team Dental (Fairchance Dental Arts)
- Beam Team Dental Limited Liability Company (Fairchance Dental Arts)
- Caleb Seth Beam, DDS
- Robin William Beissell, D.C.
- Centerville Clinics Inc
- Centerville Clinics, Inc.
- Dental Sleep Alternatives LLC
- Fairchance Firemens Ambulance
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.