Beach Perio, Implants & Medspa

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BEACH PERIO, IMPLANTS & MEDSPA

Practice address

2109 S Clinton Ave # 146
Rochester, NY 14618-2615

Phone

(585) 314-8160

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Anne Cianciola-Beach, DDSNPI 1396815650

Title

Owner

Phone

(585) 314-8160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Cianciola Beach, DDS,MS

  • Periodontics
  • Rochester, NY
  • NPI 1396815650
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1689396988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 WHITE RABBIT TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122894",
            "telephone_number": "585-314-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S CLINTON AVE # 146",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182615",
            "telephone_number": "585-314-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PERIO, IMPLANTS & MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "CIANCIOLA-BEACH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-314-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Bayley, LCSW
• Matthew William Bayne
• Kathleen Tappen Baynes, M.D.
• Handan Hannah Bayram, FNP
• Jeffrey Bazarian II, M.D.
• Emma Beach, BCBA, LBA
• Jocelyn Terese Beach, OTR/L
• Sam L Beach
• Cynthia Beagley, MS, SLP
• Austen Beaird, AU.D.

• Dental Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.