Active NPI
Aiya Al-Beyati, DMD
- General Practice Dentistry
- Wilmington, DE
National Provider Identifier
1821611864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G8-CH00010
- Practice address
- 1802 W 4TH St
Wilmington, DE 19805-3420 - Phone
- (302) 655-5822
- NPI assigned
- May 26, 2020
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4500 | WV | |
| General Practice Dentistry | 1223G0001X | DS043003 | PA | |
| General Practice Dentistry | 1223G0001X | G8-CH00010 | DE | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1802 W 4TH St
Wilmington, DE 19805-3420
Mailing address
PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455
Other practice location 1
58 Warm Springs Ave
Martinsburg, WV 25404-3800
Phone (130) 426-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210518001226 | WV | Order and Referring Only - Dentist | 8224447511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8-CH00010 | DE | MD | General Practice Dentistry |
| DS043003 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | General Practice | Current | Accepting new patients |
| Westside Family Healthcare, Inc | Past | Accepting new patients |
Locations
58 Warm Springs Ave
Martinsburg, WV 25404
Phone (304) 267-0250
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Healthy Smiles Oral Health Center
- Federally Qualified Health Center (FQHC)
- Martinsburg, WV
- NPI 1295062719
General Practice
-
- Dental Clinic/Center
- Wilmington, DE
- NPI 1861537821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1821611864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197200151",
"telephone_number": "302-652-2455",
"fax_number": "302-322-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 W 4TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053420",
"telephone_number": "302-655-5822"
}
],
"practiceLocations": [
{
"address_1": "58 Warm Springs Ave",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254043800",
"country_code": "US",
"telephone_number": "130-426-7025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-BEYATI",
"first_name": "AIYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4500",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS043003",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G8-CH00010",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.