Individual provider Active NPI

Eric Beaudet, DDS

  • Endodontics
  • Wilmington, NC
National Provider Identifier
1699269084
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12146 Issued in NC
Practice address
1117 Medical Center Dr
Wilmington, NC 28401-7304
Phone
(910) 350-3508
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401418844 MI
Endodontics 1223E0200X 12146 NC Primary

Addresses

Primary practice location

1117 Medical Center Dr
Wilmington, NC 28401-7304

Mailing address

2206 E Marshall St
Richmond, VA 23223-7059
Phone (248) 860-6108

Other practice location 1

16717 US Highway 17 Ste 224
Hampstead, NC 28443-3497
Phone (910) 380-1553

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

LicenseStateTypeSpecialty
0401418844MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1699269084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237059",
            "telephone_number": "248-860-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017304",
            "telephone_number": "910-350-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16717 US Highway 17 Ste 224",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433497",
            "country_code": "US",
            "telephone_number": "910-380-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUDET",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "0401418844",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "12146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.