Organization Active NPI

Jeffrey T Beacham DMD PLLC

  • Endodontics
  • Billings, MT
National Provider Identifier
1831712785
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JEFFREY T BEACHAM DMD PLLC
Practice address
2225 Broadwater Ave
Billings, MT 59102-4707
Phone
(406) 656-8300
Fax
(406) 656-9088
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Jeffrey Beacham, DMDNPI 1154617389
Title
Owner
Phone
(406) 656-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2225 Broadwater Ave
Billings, MT 59102-4707

Mailing address

2225 Broadwater Ave
Billings, MT 59102-4707
Phone (406) 656-8300

Other practice location 1

205 S Haynes Ave
Miles City, MT 59301-4779
Phone (406) 656-8300

National Provider Directory

National Provider Directory

Locations

2225 Broadwater Ave
Billings, MT 59102
Phone (406) 656-8300

Practitioners & affiliated clinicians

Practitioners 1

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1831712785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024707",
            "telephone_number": "406-656-8300",
            "fax_number": "406-656-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024707",
            "telephone_number": "406-656-8300",
            "fax_number": "406-656-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Haynes Ave",
            "address_purpose": "LOCATION",
            "city": "Miles City",
            "state": "MT",
            "postal_code": "593014779",
            "country_code": "US",
            "telephone_number": "406-656-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY T BEACHAM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BEACHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-656-8300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.