Kelsey Beaman
Individual provider Active NPI Dental Assistant · Ames, IA
NPI 1700323730 · NPPES record last updated Jan 29, 2017
Key facts
- NPI
- 1700323730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- QDA-10780 (IA)
- Practice address
- 1606 Golden Aspen Dr
#110
Ames, IA 50010-8011 - Phone
- (515) 232-7000
- NPI assigned
- Jan 29, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QDA-10780 | IA | MD | Dental Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | QDA-10780 | IA | Yes |
Addresses
Primary practice location
1606 Golden Aspen Dr
#110
Ames, IA 50010-8011
Mailing address
203 W 9TH St
Boone, IA 50036-1919
Phone (515) 391-9756
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.