Active NPI
Joseph Victor Bean, DDS
- General Practice Dentistry
- Kettering, OH
National Provider Identifier
1609902816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-01-3434
- Practice address
- 307 E Stroop Rd
Kettering, OH 45429-2827 - Phone
- (937) 299-6766
- Fax
- (937) 299-3326
- NPI assigned
- Feb 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-01-3434 | OH | Primary |
Addresses
Primary practice location
307 E Stroop Rd
Kettering, OH 45429-2827
Mailing address
307 E Stroop Rd
Kettering, OH 45429-2827
Phone (937) 299-6766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-01-3434 | Other | OH | DENTAL LICENSE |
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
- Opted out of Medicare
- Yes, effective Jul 15, 2015 through Jul 15, 2027
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": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609902816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292827",
"telephone_number": "937-299-6766",
"fax_number": "937-299-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292827",
"telephone_number": "937-299-6766",
"fax_number": "937-299-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "JOSEPH",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-01-3434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "30-01-3434",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.