Organization Active NPI

Joshua Beaver DDS LLC

Doing business as Hammond Endodontics

  • Endodontics
  • Hammond, LA
National Provider Identifier
1881261469
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
JOSHUA BEAVER DDS LLC
Doing business as
Hammond Endodontics
Practice address
104 S Spruce St
Hammond, LA 70403-4136
Phone
(985) 549-0794
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Dr. Joshua Don Beaver, DDSNPI 1235441932
Title
Owner
Phone
(225) 324-5077

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

104 S Spruce St
Hammond, LA 70403-4136

Mailing address

104 S Spruce St
Hammond, LA 70403-4136
Phone (985) 549-0794

Other identifiers 1

IdentifierTypeStateIssuer
1859141MedicaidLA

Other names 1

  • Hammond Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

104 S Spruce St
Hammond, LA 70403
Phone (985) 542-1997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1881261469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S SPRUCE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704034136",
            "telephone_number": "985-549-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S SPRUCE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704034136",
            "telephone_number": "985-549-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA BEAVER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-324-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammond Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.