Organization Active NPI

Beach View Family Dental, PLLC

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1831603257
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEACH VIEW FAMILY DENTAL, PLLC
Practice address
9072 Lorraine Road
Gulfport, MS 39503
Phone
(228) 896-1840
Fax
(228) 604-4449
NPI assigned
Nov 21, 2017
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Terry Garner, DMD
Title
Owner
Phone
(601) 271-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

9072 Lorraine Road
Gulfport, MS 39503

Mailing address

9072 Lorraine Road
Gulfport, MS 39503
Phone (228) 896-1840

National Provider Directory

National Provider Directory

Locations

9072 Lorraine Rd
Gulfport, MS 39503
Phone (228) 896-1840

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1831603257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9072 LORRAINE ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-896-1840",
            "fax_number": "228-604-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9072 LORRAINE ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-896-1840",
            "fax_number": "228-604-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH VIEW FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-271-8710",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.