Beau H Kapp, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6669 Issued in OR

Practice address

300 SW Columbia St Ste 102
Bend, OR 97702-1175

Phone

(541) 550-1888

Fax

(541) 550-1889

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1801815980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW COLUMBIA ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021175",
            "telephone_number": "541-550-1888",
            "fax_number": "541-550-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW COLUMBIA ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021175",
            "telephone_number": "541-550-1888",
            "fax_number": "541-550-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 N Highway 97 Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977037571",
            "country_code": "US",
            "telephone_number": "541-601-9172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 N Phoenix Rd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975049399",
            "country_code": "US",
            "telephone_number": "541-774-3928",
            "fax_number": "541-774-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPP",
        "first_name": "BEAU",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kandra, LPC
• David Henach Kane, M.D.
• Kristen Kane, MA, CCC-SLP
• Hyung-Chil Kang, M.D.
• Adam Spencer Kaplan, PA-C
• Hannah Kappus, QMHP
• Kara Kelly, LLC
• Brock Karben, O.D.
• Emily Marie Karben, O.D.
• Justine Kargol

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.