Individual provider Active NPI

David R Beanland, D.M.D. M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Billerica, MA
National Provider Identifier
1932147238
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20791 Issued in MA
Practice address
2 Andover Road
Billerica, MA 01821
Phone
(978) 667-8600
Fax
(978) 663-2880
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 223139 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20791 MA Primary

Addresses

Primary practice location

2 Andover Road
Billerica, MA 01821

Mailing address

2 Andover Road
Billerica, MA 01821
Phone (978) 667-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20031203000347 MA Practitioner - Oral Surgery 8820993892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20791MAMDOral and Maxillofacial Surgery (Dentist)
223139MAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Anesthesia Solutions, LLC Oral & Maxillofacial Surgery Current Accepting new patients
New England Oral Surgery Associates Past Accepting new patients
New England Oral Surg. Assoc. LLC Oral and Maxillofacial Surgery Past Accepting new patients
New England Oral Surgery Associates, LLC Oral & Maxillofacial Surgery Past Accepting new patients

Locations

270 Littleton Rd
Ste 1
Westford, MA 01886
Phone (978) 392-9095

Interoperability endpoints

  • Direct secure messaging: dbeanland144616@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1932147238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ANDOVER ROAD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-667-8600",
            "fax_number": "978-663-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ANDOVER ROAD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-667-8600",
            "fax_number": "978-663-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANLAND",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D. M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "223139",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.