Chad Laurent Beatty, DMD. MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

050022 Issued in NY

Practice address

555 Delaware St
Tonawanda, NY 14150-5358

Phone

(716) 694-1134

Fax

(716) 694-0665

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northtowns Oral & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lockport, NY
  • NPI 1427119601

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official
• Ladota Optometry, PC

  • Optometrist
  • Tonawanda, NY
  • NPI 1356578983
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720182124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 OAKLEAF LANE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-636-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505358",
            "telephone_number": "716-694-1134",
            "fax_number": "716-694-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "CHAD",
        "middle_name": "LAURENT",
        "name_prefix": "Dr.",
        "credential": "DMD. MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS  COMMUNITY BLUE",
            "identifier": "000527196004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026001505",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02364661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Bartlett, PHD
• Molly Jean Barton
• Renee M. Baskin, PHD
• Tiffany Bauer, MA
• Katelyn Beaton
• Eva Becker Gmeinder
• Behavioral Health Associates of Wny
• Carol Ann Behm
• Danielle Page Bellamy Simmons, DNP
• William J Belles, MD

• All providers in Tonawanda, NY
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.