Clinton Shiva Been, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13209 Issued in MN

Practice address

3920 W Broadway Ave
Robbinsdale, MN 55422-2210

Phone

(763) 535-5555

Fax

(763) 535-0693

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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 MN

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robbinsdale Dentalcare PA

  • General Practice Dentistry
  • Robbinsdale, MN
  • NPI 1164474003
  NPD

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1821436940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222210",
            "telephone_number": "763-535-5555",
            "fax_number": "763-535-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222210",
            "telephone_number": "763-535-5555",
            "fax_number": "763-535-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEN",
        "first_name": "CLINTON",
        "middle_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Bauernhuber, PTA
• Jean Beach
• Alan L Beal, MD
• Daniel Beatty
• Barbara Beck
• Jacalyn Jeanne Beiler, PA-C
• Believe to Achieve Chiropractic P.a. (Go Health Chiropractic)
• Richard D Belkin, MD
• Ellie Marie Bennett, D.C.
• Nancy Benolkin, NNP

• Dentist in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.