Individual provider Active NPI

Joseph Beatty, D.D.S.

  • General Practice Dentistry
  • Rochester, MN
National Provider Identifier
1730598905
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13467 Issued in MN
Practice address
3000 43Rd St NW
Rochester, MN 55901-5847
Phone
(507) 287-8320
Fax
(507) 281-8757
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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 D13467 MN Primary

Addresses

Primary practice location

3000 43Rd St NW
Rochester, MN 55901-5847

Mailing address

3000 43Rd St NW
Rochester, MN 55901-5847
Phone (507) 287-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110000421 MN Order and Referring Only - Oral SurgeryPractitioner - General PracticePractitioner - Oral Surgery 6406166115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1730598905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 43RD ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015847",
            "telephone_number": "507-287-8320",
            "fax_number": "507-281-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 43RD ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015847",
            "telephone_number": "507-287-8320",
            "fax_number": "507-281-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.