Beachcrest Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BEACHCREST DENTAL, INC.

Practice address

88 Beach St
Westerly, RI 02891-2718

Phone

(401) 596-0075

Fax

(401) 596-0388

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Charles Mackinnon, D.D.S.NPI 1083663249

Title

President

Phone

(401) 596-0075

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Charles Mackinnon, D.D.S.

  • General Practice Dentistry
  • Westerly, RI
  • NPI 1083663249
  NPD (past) Authorized official
• Brett Louis Bruno, D.D.S.

  • General Practice Dentistry
  • Westerly, RI
  • NPI 1558319954
  NPD (past)
• Ian Stelzner, DMD

  • General Practice Dentistry
  • Wakefield, RI
  • NPI 1174202592
  NPD (past)
• Kavita Bhalala Suthar, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1891086591
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1902070865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912718",
            "telephone_number": "401-596-0075",
            "fax_number": "401-596-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912718",
            "telephone_number": "401-596-0075",
            "fax_number": "401-596-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHCREST DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MACKINNON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-596-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S. Baker, M.A., LCDP
• Julie Barber, PHARMD
• Ashley Barker, LICSW
• Jared Barlow, MD
• Casey Batt
• John Carmen Beauchamp, MD
• Brett Steven Beaulieu, D.M.D.
• Gary Benedetti, DC
• Christopher Benn, MSPT
• Edsell Carlos Bernardo, M.D.

• Dental Clinic/Center in Westerly, RI
• Providers in Westerly, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.