Individual provider Active NPI

Chad Leland Beers, DDS

  • Dentist
  • Traverse City, MI
National Provider Identifier
1477788081
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019982 Issued in MI
Practice address
4041 Lone Pine Dr
Traverse City, MI 49684-7488
Phone
(231) 941-0200
Fax
(231) 941-0201
NPI assigned
May 27, 2009
Last updated
Oct 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019982 MI Primary

Addresses

Primary practice location

4041 Lone Pine Dr
Traverse City, MI 49684-7488

Mailing address

4041 Lone Pine Dr
Traverse City, MI 49684-7488
Phone (231) 941-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160108000740 MI Order and Referring Only - DentistPractitioner - Dentist 0446552384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beers & Stilwill Family Dentistry PastSince May 24, 2020 Accepting new patients

Organizations & group practices 1

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1477788081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 LONE PINE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847488",
            "telephone_number": "231-941-0200",
            "fax_number": "231-941-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LONE PINE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847488",
            "telephone_number": "231-941-0200",
            "fax_number": "231-941-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERS",
        "first_name": "CHAD",
        "middle_name": "LELAND",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.