Marianna Beetham, D.D.S., P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9356 Issued in WA

Legal business name

MARIANNA BEETHAM, D.D.S., P.S.

Practice address

12911 120TH Ave NE
Ste B-60
Kirkland, WA 98034

Phone

(425) 825-8800

Fax

(425) 825-8808

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Inna Rand

Title

Office Staff

Phone

(425) 825-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianna Beetham, D.D.S.

  • Dentist
  • Kirkland, WA
  • NPI 1174729206
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1982739108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "STE B-60",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-825-8800",
            "fax_number": "425-825-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "STE B-60",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-825-8800",
            "fax_number": "425-825-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA BEETHAM, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "425-825-8800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "2957KH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1665021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas H Mar, OD
• Kaysee Mar, LMHCA
• Lyle Ardon Marcus-Love, D.C.
• Patrick Neal Marcus, MD
• Gerrie Margell
• Angelika Mariano, RPH
• Aryana Maricle-Conroy
• Marina Park Plastics, PLLC
• Marina Park Plastics, PLLC
• Frank F Marinkovich, MD

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.