Individual provider Active NPI

William H Begeman, DDS

  • General Practice Dentistry
  • Greentown, IN
National Provider Identifier
1780704858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6472 Issued in IN
Practice address
118 S Green St
Greentown, IN 46936-1411
Phone
(765) 628-7970
Fax
(765) 628-0630
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6472 IN Primary

Addresses

Primary practice location

118 S Green St
Greentown, IN 46936-1411

Mailing address

118 S Green St
Greentown, IN 46936-1411
Phone (765) 628-7970

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6472INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780704858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S GREEN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361411",
            "telephone_number": "765-628-7970",
            "fax_number": "765-628-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S GREEN ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361411",
            "telephone_number": "765-628-7970",
            "fax_number": "765-628-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGEMAN",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "6472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.