Beto & Bogardus

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BETO & BOGARDUS

Practice address

400 S 4TH St
Danville, KY 40422-2007

Phone

(859) 236-1130

Fax

(859) 239-9384

NPI assigned

Nov 9, 2006

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry L Peavler

Title

Office Manager

Phone

(859) 236-1130

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Danville Oral and Maxillofacial Surgery Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Jane Bogardus, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, KY
  • NPI 1558325878
  Medicare reassignment Care Compare group NPD
• Justin R Kolasa, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, KY
  • NPI 1598100372
  Medicare reassignment Care Compare group
• Louis M. Beto, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, KY
  • NPI 1114981420
  Medicare reassignment
• Gregory A Cobetto, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lexington, KY
  • NPI 1205853124

  Oral and Maxillofacial Surgery

  NPD (past)
• Arthur A. Gonty, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, KY
  • NPI 1215992854
  NPD (past)
• Robert Zion Joseph, MD

  • Emergency Medicine Physician
  • Versailles, KY
  • NPI 1235173881
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1730259292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 201",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222094",
            "telephone_number": "859-236-1130",
            "fax_number": "859-239-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222007",
            "telephone_number": "859-236-1130",
            "fax_number": "859-239-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETO & BOGARDUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "PEAVLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-236-1130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65912990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61941860",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64031842",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60003175",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danville Oral and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip Burke Barsotti, DMD
• Rebecca J Baugh, LPCC
• Rhonda L Beck, PSY.D.
• Barbara Ann Bern, P.A.-C.
• Erin K.S.. Berry, DPT
• Louis M. Beto, D.M.D.
• Gordon R Betts, PHD
• Bevins Crowley Nutrition LLC
• Suzanne A Bhatt, PHD
• Bio-Medical Applications of Kentucky, Inc. (FMC Dialysis Services of Danville)

• Oral and Maxillofacial Surgery (Dentist) in Danville, KY
• Providers in Danville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.