Active NPI
Beauregard Story, D.D.S.
- Dental Anesthesiology
- Sacramento, CA
National Provider Identifier
1730742156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 104564
- Practice address
- 7237 E Southgate Dr Ste E
Sacramento, CA 95823-2637 - Phone
- (916) 836-3833
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104564 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dental Anesthesiology | 1223D0004X | 104564 | CA | Primary |
Addresses
Primary practice location
7237 E Southgate Dr Ste E
Sacramento, CA 95823-2637
Mailing address
3500 Westminster Way
Napa, CA 94558-4165
Phone (707) 738-6881
Other practice location 1
26001 Redlands Blvd
Redlands, CA 92373-7762
Phone (909) 825-7084
Other practice location 2
300 Hartle Court
Napa, CA 94559
Phone (707) 603-8906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104564 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1730742156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WESTMINSTER WAY",
"city": "NAPA",
"state": "CA",
"postal_code": "945584165",
"telephone_number": "707-738-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7237 E SOUTHGATE DR STE E",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232637",
"telephone_number": "916-836-3833"
}
],
"practiceLocations": [
{
"address_1": "26001 Redlands Blvd",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923737762",
"country_code": "US",
"telephone_number": "909-825-7084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Hartle Court",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94559",
"country_code": "US",
"telephone_number": "707-603-8906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORY",
"first_name": "BEAUREGARD",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104564",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "104564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Stonegate Luthern Social Services
- Stonehaven Supportive Services Inc
- Maria E Stoner, N.P.
- Juliana Leigh Stonier, RD
- Marguerite Ann Story-Baker, LCSW AND SAP
- Thessalon Story Sr., CERTIFIED COUNSELOR
- Tricia Marie Story, CADC-CAS
- Michelle Kimberly Stoskopf, D.C.
- Troy D Stoudemire-Wright
- Deanna Stouder, CADC-II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.