Kaitlin A. Beetner, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102532 Issued in CA

Practice address

12555 W Jefferson Blvd
Suite 215
Los Angeles, CA 90066

Phone

(424) 216-9669

NPI assigned

Jun 21, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1821582883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 W. JEFFERSON BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "424-216-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W JEFFERSON BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "424-216-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEETNER",
        "first_name": "KAITLIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Elizabeth Beerley, NP
• Lianne Eve Beerman, MD
• Mikki Makiko Senjo Beermann, LCSW
• Emily Hannah Beers, M.D.
• Ellis Norman Beesley Jr., M.D.
• Mark Matthew Befort, L.C.S.W.
• Xhesika Begaj, MD
• Catherine Margary Cuaco Begazo, DDS, MDS, PHD
• Alexandra Begg
• Joy Renee Beggs, PT, DPT

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.