Individual provider Active NPI

Lexington Maund Belyeu, D.D.S.

  • General Practice Dentistry
  • Camilla, GA
National Provider Identifier
1518177963
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010833 Issued in GA
Practice address
106 S Scott St
Camilla, GA 31730-2057
Phone
(229) 336-0898
Fax
(229) 336-0106
NPI assigned
May 23, 2007
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010833 GA Primary

Addresses

Primary practice location

106 S Scott St
Camilla, GA 31730-2057

Mailing address

106 S Scott St
Camilla, GA 31730-2057
Phone (229) 336-0898

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

State licenses

LicenseStateTypeSpecialty
DN010833GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1518177963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S SCOTT ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317302057",
            "telephone_number": "229-336-0898",
            "fax_number": "229-336-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S SCOTT ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317302057",
            "telephone_number": "229-336-0898",
            "fax_number": "229-336-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELYEU",
        "first_name": "LEXINGTON",
        "middle_name": "MAUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.