David Alexander Beltran, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1012 Issued in SC

Practice address

4500 Stuart St
Moncrief Army Health Clinic Oral Surgery Clinic
Fort Jackson, SC 29207-5700

Phone

(803) 751-2160

NPI assigned

Apr 19, 2006

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1720043003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENCLAVE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233259",
            "telephone_number": "910-813-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "address_2": "MONCRIEF ARMY HEALTH CLINIC ORAL SURGERY CLINIC",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "1012",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "21799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Lee Anderson, PHD
• Larry Kenneth Andreo, M.D.
• Gary Tillery Applewhite, DDS
• Colleen Barkley, MPT, SCS, ATC
• Mitchell Eli Becker, DMD
• Dorene M Boltz
• Timothy Merrill Campbell, DMD
• Corey Carroll, D.M.D
• James William Cartwright Jr., DDS
• Julie Clare, F.N.P.

• Oral and Maxillofacial Surgery (Dentist) in Fort Jackson, SC
• Providers in Fort Jackson, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.