Rebecca Beauchamp, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3827 Issued in AR

Practice address

1188 N Salem Rd
Suite 10
Fayetteville, AR 72704-8807

Phone

(479) 527-0707

NPI assigned

Aug 26, 2011

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Rebecca Carlisle D.D.S. L.L.C.

  • Dentist
  • Fayetteville, AR
  • NPI 1114399946
  NPD (past)
• Wedington Court Dental Associates

  • General Practice Dentistry
  • Fayetteville, AR
  • NPI 1760740799
  NPD (past)

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1891075404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD",
            "address_2": "SUITE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048807",
            "telephone_number": "479-527-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N SALEM RD",
            "address_2": "SUITE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048807",
            "telephone_number": "479-527-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Beard
• Megan Shai Beard, LPC
• Jeffrey C Bearden, MD
• Jessica Jade Beasley
• Kelly Kathleen Beaton
• Adriana Beaudoin
• Laura Ann Beaufford, APRN-CNP, PMHNP-BC
• Beavers and Broomfield Family Dentistry
• Zach Beavers, L.AC.
• Brian Bechtold

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.