NPIMap

Organization Active NPI

Chantiste Beal DDS Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1730556390
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57857 Issued in CA
Legal business name
CHANTISTE BEAL DDS INC.
Practice address
5830 Overhill Dr
Suit #1
Los Angeles, CA 90043-2710
Phone
(323) 292-2505
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Chantiste Beal, DMDNPI 1356596704
Title
Dentist
Phone
(323) 292-2505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57857 CA Primary

Addresses

Primary practice location

5830 Overhill Dr
Suit #1
Los Angeles, CA 90043-2710

Mailing address

12115 2ND Ave
Lynwood, CA 90262-4561
Phone (323) 292-2505

National Provider Directory

National Provider Directory

Locations

5830 Overhill Dr
Ste 1
Los Angeles, CA 90043
Phone (310) 887-1112

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1730556390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 2ND AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624561",
            "telephone_number": "323-292-2505",
            "fax_number": "323-292-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OVERHILL DR",
            "address_2": "SUIT #1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432710",
            "telephone_number": "323-292-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANTISTE BEAL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "CHANTISTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-292-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.