Individual provider Active NPI

Steven Anthony Beuligmann, D.D.S.

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1720189228
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034469 Issued in CA
Practice address
1299 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Phone
(760) 729-5964
Fax
(760) 729-6991
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 034469 CA Primary

Addresses

Primary practice location

1299 Carlsbad Village Dr
Carlsbad, CA 92008-1950

Mailing address

1299 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Phone (760) 729-5964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160526002048 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769772144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034469CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1720189228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081950",
            "telephone_number": "760-729-5964",
            "fax_number": "760-729-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081950",
            "telephone_number": "760-729-5964",
            "fax_number": "760-729-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEULIGMANN",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "034469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.