Individual provider Active NPI

Thomas William Beauchamp Sr., DDS

  • General Practice Dentistry
  • Inman, SC
National Provider Identifier
1902038797
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1414 Issued in SC
Practice address
26 Mill St.
Thomas W. Beauchamp DDS
Inman, SC 29349
Phone
(864) 472-8717
Fax
(864) 472-6100
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1414 SC Primary

Addresses

Primary practice location

26 Mill St.
Thomas W. Beauchamp DDS
Inman, SC 29349

Mailing address

26 Mill St. PO Box 313
Thomas W. Beauchamp DDS
Inman, SC 29349
Phone (864) 472-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1414SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Inman Dental Associates Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1902038797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MILL ST. PO BOX 313",
            "address_2": "THOMAS W. BEAUCHAMP DDS",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "29349",
            "telephone_number": "864-472-8717",
            "fax_number": "864-472-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MILL ST.",
            "address_2": "THOMAS W. BEAUCHAMP DDS",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "29349",
            "telephone_number": "864-472-8717",
            "fax_number": "864-472-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.