Active NPI
Bryan Marshall Beebe, DDS
- Endodontics
- Bozeman, MT
National Provider Identifier
1972706950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5983
- Practice address
- 2055 N 22ND Ave
Suite 3
Bozeman, MT 59718-2783 - Phone
- (406) 587-7668
- Fax
- (406) 587-7670
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 13391 | FL | |
| Endodontics | 1223E0200X | 7795 | MD | |
| Endodontics | 1223E0200X | 5983 | MT | Primary |
Addresses
Primary practice location
2055 N 22ND Ave
Suite 3
Bozeman, MT 59718-2783
Mailing address
2055 N 22ND Ave
Suite 3
Bozeman, MT 59718
Phone (406) 587-7668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13391 | FL | MD | Chiropractor |
| 7795 | MD | MD | Endodontist |
| 5983 | MT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1972706950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N 22ND AVE",
"address_2": "SUITE 3",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59718",
"telephone_number": "406-587-7668",
"fax_number": "406-587-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N 22ND AVE",
"address_2": "SUITE 3",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597182783",
"telephone_number": "406-587-7668",
"fax_number": "406-587-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "BRYAN",
"middle_name": "MARSHALL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "13391",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "7795",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MT",
"license": "5983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.