Active NPI
Patrick C Beug, D.D.S.
- General Practice Dentistry
- Puyallup, WA
National Provider Identifier
1699817676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4052
- Practice address
- 2802 S Meridian
Puyallup, WA 98373-1402 - Phone
- (253) 848-3553
- NPI assigned
- Feb 13, 2007
- Last updated
- Oct 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4052 | WA | Primary |
Addresses
Primary practice location
2802 S Meridian
Puyallup, WA 98373-1402
Mailing address
2802 S Meridian
Puyallup, WA 98373-1402
Phone (253) 848-3553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5368808 | Medicaid | WA |
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 |
|---|---|---|---|
| 4052 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1699817676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731402",
"telephone_number": "253-848-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731402",
"telephone_number": "253-848-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUG",
"first_name": "PATRICK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "4052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5368808",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
- Best Friends Senior Services
- Better Outlook Psychiatry & Wellness PLLC
- Better Place Afh #3 LLC (Better Place Afh#3)
- Better Place Afh LLC (Better Place Afh)
- David R Bettger
- Rebecca Lynn Beutler, ED.D., LMHC
- Bethany Bevier, LMP
- Aparna Bhat, DMD
- Kimberley Lam Bienville, PHARM D
- Karen Marie Bier, LMHC CDP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.