Active NPI
Edwina Joyce Beasley, D.D.S.
- Dentist
- Sacramento, CA
National Provider Identifier
1487835468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26585
- Practice address
- 501 J St
Sacramento, CA 95814-2326 - Phone
- (916) 323-1191
- Fax
- (916) 327-2476
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 26585 | CA | Primary |
Addresses
Primary practice location
501 J St
Sacramento, CA 95814-2326
Mailing address
501 J St
Sacramento, CA 95814-2326
Phone (916) 323-1191
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1487835468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142326",
"telephone_number": "916-323-1191",
"fax_number": "916-327-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142326",
"telephone_number": "916-323-1191",
"fax_number": "916-327-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "EDWINA",
"middle_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "26585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.