Active NPI
Benjamin Beeson
- Dentist
- Suwanee, GA
National Provider Identifier
1689026031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015224
- Practice address
- 4330 Johns Creek Pkwy
Suite 100
Suwanee, GA 30024-6120 - Phone
- (720) 268-3499
- NPI assigned
- Jul 11, 2016
- Last updated
- Jul 13, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN015224 | GA | Primary |
Addresses
Primary practice location
4330 Johns Creek Pkwy
Suite 100
Suwanee, GA 30024-6120
Mailing address
4330 Johns Creek Pkwy
Suite 100
Suwanee, GA 30024-6120
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 |
|---|---|---|---|
| DN015224 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1689026031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246120",
"telephone_number": "720-268-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.