Individual provider Active NPI

Caleb Seth Beam, DDS

  • Dentist
  • Fairchance, PA
National Provider Identifier
1467861765
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
RES.3493 Issued in OH
Practice address
5 N Morgantown St
Fairchance, PA 15436
Phone
(724) 564-9010
NPI assigned
Aug 12, 2014
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RES.3493 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

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 20, 2015 through Aug 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RES.3493OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Beam Team Dental Limited Liability Company Current Accepting new patients
Beam Team Dental Current Accepting new patients

Locations

5 N Morgantown St
Fairchance, PA 15436
Phone (724) 564-9010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1467861765",
    "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": "CALEB",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.3493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairchance, PA

Sources for this page

Verify at the official NPI Registry.