Amanda Beauchamp Pillai, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14455 Issued in MN

Practice address

2096 Ford Pkwy
Saint Paul, MN 55116-1813

Phone

(651) 237-9913

NPI assigned

Jul 26, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Dental Specialties Inc

  • Dental Clinic/Center
  • Saint Paul, MN
  • NPI 1750023198
  NPD
• Dentists of Highland Park, PC

  • Dentist
  • Saint Paul, MN
  • NPI 1659881944
  NPD (past)

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1871102871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARQUETTE AVE APT 2005",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012922",
            "telephone_number": "366-692-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161813",
            "telephone_number": "651-237-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "AMANDA",
        "middle_name": "BEAUCHAMP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Pietrini, MD
• Kathryn Lynn Piha, DNP-FNP
• Rebecca Lynn Pihl, MSW, LICSW
• Allison Louise Pilarski, MD
• Valerie Ann Pilgrim, PHARMD
• Kamalesh Muniraj Pillai, M.D.
• Suriyamurthy Mohan Pillai, M.D.
• Michael E Pinchback, M.D.
• Danielle Alysse Pinon, LPC
• Megan Pint, D.D.S.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; 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.

Verify at the official NPI Registry.