Individual provider Active NPI

Marianna Rebecca Beattie Vonmuenster, DDS

  • Dentist
  • Davenport, IA
National Provider Identifier
1700937620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08167 Issued in IA
Practice address
516 W 35TH St
Davenport, IA 52806-5821
Phone
(563) 386-6910
Fax
(563) 386-6967
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08167 IA Primary

Addresses

Primary practice location

516 W 35TH St
Davenport, IA 52806-5821

Mailing address

2344 Highway 130
New Liberty, IA 52765
Phone (563) 893-2260

Other names 1

  • Dr. Marianna Rebecca Beattie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20151006002612 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355659624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quad City Sleep Company PC CurrentSince Dec 22, 2022 Accepting new patients

Locations

1544 W Kimberly Rd
Davenport, IA 52806
Phone (563) 386-6910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700937620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 HIGHWAY 130",
            "city": "NEW LIBERTY",
            "state": "IA",
            "postal_code": "52765",
            "telephone_number": "563-893-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065821",
            "telephone_number": "563-386-6910",
            "fax_number": "563-386-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE VONMUENSTER",
        "first_name": "MARIANNA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNA",
            "last_name": "BEATTIE",
            "middle_name": "REBECCA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.