Charles Macdonald Beavers, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

09835 Issued in NC

Practice address

2600 Oakcrest Ave Ste B
Greensboro, NC 27408-1935

Phone

(336) 282-9886

Fax

(336) 282-9780

NPI assigned

Apr 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Beavers and Keating

  • Endodontics
  • Greensboro, NC
  • NPI 1598816480
  NPD (past)

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1689964892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-282-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-282-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "CHARLES",
        "middle_name": "MACDONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "09835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Beatty, PA-C
• Julie Morgan Beauchesne, RN
• Olivia Grace Beaupre, MS, LCMHCA, NCC
• Sheryl Beauregard, MS, RD, LDN
• Beautiful Beginnings Services. LLC
• Kimberly Lorraine Beavers, M.D.
• Richard Allen Beavers
• Alise Beccaria, DAC, L.AC.
• Judy Hensley Beck-Sieg, ANRN, BC (NP)
• Anna G Becker

• Endodontics in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.