Active NPI
Magy Hany Boules Beskales
- Dentist
- Minneapolis, MN
National Provider Identifier
1548087166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- R891
- Practice address
- 716 Washington Ave SE Apt 507
Minneapolis, MN 55414-4037 - Phone
- (612) 625-4777
- NPI assigned
- Sep 24, 2024
- 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 | R891 | MN | Primary |
Addresses
Primary practice location
716 Washington Ave SE Apt 507
Minneapolis, MN 55414-4037
Mailing address
716 Washington Ave SE Apt 507
Minneapolis, MN 55414-4037
Phone (612) 625-4777
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
| License | State | Type | Specialty |
|---|---|---|---|
| R891 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1548087166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 WASHINGTON AVE SE APT 507",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144037",
"telephone_number": "612-625-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 WASHINGTON AVE SE APT 507",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144037",
"telephone_number": "612-625-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULES BESKALES",
"first_name": "MAGY",
"middle_name": "HANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "R891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.