Beacon Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BEACON DENTAL GROUP

Practice address

6099 N. First Ste Ste 102
Fresno, CA 93710

Phone

(559) 432-8100

Fax

(559) 432-7420

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Cheung, DDS

Title

Dr. Cheung

Phone

(559) 432-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold E. Coulston Jr., DMD

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1265533624
  NPD (past)
• Roselyn Odsinada Oji

  • Dentist
  • Fresno, CA
  • NPI 1578925301
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1619433711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 N. FIRST STE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-432-8100",
            "fax_number": "559-432-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 N. FIRST STE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-432-8100",
            "fax_number": "559-432-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DR. CHEUNG",
        "authorized_official_telephone_number": "559-432-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miah Louise Bazzano, LMFT
• Abbas Ali Bazzy, ND
• BBT Health, LLC
• Be Together Home Care LLC
• Michael Beach
• Thomas Earl Beall, CPO
• Thomas Joseph Beall
• Leiah Beamer
• Janell Renee Beamon, NP
• Latanya Marvel Beamon, CRT

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.