Active NPI
Simon Beylin, DDS, MDT
- Endodontics
- Lowell, MA
National Provider Identifier
1629352661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN1856357
- Practice address
- 33 Bartlett St
Suite 501
Lowell, MA 01852-1334 - Phone
- (978) 425-1496
- NPI assigned
- Oct 10, 2011
- Last updated
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 055915 | NY | |
| Dentist | 122300000X | 10783 | CT | |
| Dentist | 122300000X | 60820 | CA | |
| Endodontics | 1223E0200X | DN1856357 | MA | Primary |
Addresses
Primary practice location
33 Bartlett St
Suite 501
Lowell, MA 01852-1334
Mailing address
33 Bartlett St
Suite 501
Lowell, MA 01852-1334
Phone (978) 425-1496
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 |
|---|---|---|---|
| DN1856357 | MA | MD | Endodontist |
| 055915 | NY | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1629352661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BARTLETT ST",
"address_2": "SUITE 501",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521334",
"telephone_number": "978-425-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BARTLETT ST",
"address_2": "SUITE 501",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521334",
"telephone_number": "978-425-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYLIN",
"first_name": "SIMON",
"name_prefix": "Dr.",
"credential": "DDS, MDT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055915",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "10783",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60820",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "DN1856357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.