Steven Wayne Beadnell, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D5639 Issued in OR

Practice address

11786 SW Barnes Rd Ste 110
Portland, OR 97225-5926

Phone

(503) 924-2323

Fax

(503) 601-0569

NPI assigned

Aug 8, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Feb 11, 2016 through Feb 11, 2028

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brett a. Ueeck DMD, MD, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, OR
  • NPI 1447525852
  NPD (past)
• Skyline Oral Facial and Dental Implant Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, OR
  • NPI 1376310359
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1962412312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255926",
            "fax_number": "503-601-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255926",
            "telephone_number": "503-924-2323",
            "fax_number": "503-601-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADNELL",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beachside Recovery Center LLC
• Kay Robert Beadle, MSN
• Noelle Baucke Beadling, L.M.T.
• Melissa Marie Beadnell, D.M.D.
• Scott Beadnell, P.T.
• Gregory L Beagle, MD
• Claudette Hastie Beahrs, LCSW
• John Oakley Beahrs, M.D.
• Douglas Lee Beal, ANP
• Linda S Beale, MD

• Oral and Maxillofacial Surgery (Dentist) in Portland, OR
• Providers in Portland, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.