Liset Beltran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029882 Issued in IL

Practice address

1812 Broadway St
Melrose Park, IL 60160-2039

Phone

(708) 498-4410

NPI assigned

Jun 17, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Kids Dental Center, LLC

  • General Practice Dentistry
  • Melrose Park, IL
  • NPI 1003246927
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841585791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BROADWAY ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602039",
            "telephone_number": "708-498-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BROADWAY ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602039",
            "telephone_number": "708-498-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-275-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "LISET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029882",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos G. Bautista Sr.
• Bazartogtokh Bayar
• Beatriz Huertas Rivera MD SC
• Pete Behnke, BA
• Behrooz Eshaghy, MD, SC
• Katarzyna Benjamin, PHARMD
• Sarah Benning, MS, OTR/L
• Senait Berhe
• Pamela M Berkowitz, LCSW
• Nicolette Marie Bernhardt, PSYD

• General Practice Dentistry in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.