DR. BRANDON E BEAVER (NPI# 1598790495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598790495 |
| Entity Type | Individual |
| Full Name | DR. BRANDON E BEAVER |
| Credential | D.D.S. |
| Practice Address |
2915 Westside Dr Durant OK 74701-2028 |
| Practice Telephone | 5809241234 |
| Practice Fax Number | 5809202082 |
| Mailing Telephone | 5809241234 |
| Mailing Fax Number | 5809202082 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5597 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200045860A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243329 | Brandon Marvin-duncan Beaver | Pharmacist | 119 N Roland St, Mc Bain, MI 49657-9683 | 2020-07-24 |
| Street Address |
2915 WESTSIDE DR |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710912613 | Carroll Tate Hutchens II | Dentist | 2915 Westside Dr, Durant, OK 74701-2028 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639677172 | Bell Dental Durant LLC | Dentist | 360 E Mulberry St, Durant, MS 39063-3726 | 2018-01-30 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1760664015 | Casey A Roberts Dds PC | Dentist | 2425 W. University Blvd., Ste. 102, Durant, OK 74701 | 2007-11-28 |
| 1831384726 | All About Smiles Dentistry, P. C. | Dentist | 724 N. Washington Ave, Durant, OK 74701 | 2007-09-13 |
| 1427278738 | Casey Alan Roberts | Dentist | 1706 N Washington Ave, Durant, OK 74701-2118 | 2007-04-27 |
| 1376670364 | Richard Wayne Grunder | Dentist | 501 Ninth Avenue, Durant, IA 52747-0066 | 2007-02-27 |
| 1780694703 | Kimberly Dawn Hill | Dentist | 724 N Washington Ave, Durant, OK 74701-7017 | 2006-08-09 |
| 1710912613 | Carroll Tate Hutchens II | Dentist | 2915 Westside Dr, Durant, OK 74701-2028 | 2006-07-11 |
| 1316986375 | Chasity A Carper | Dentist | 1220 N Washington Ave, Durant, OK 74701-2120 | 2006-06-05 |
| 1396195566 | Ali Mahdy | Dentist | 1706 N Washington Ave, Durant, OK 74701-2118 | 2016-06-17 |
| Find all providers in DURANT | ||||
Please comment or provide details below to improve the information on DR. BRANDON E BEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.