DR. MICHAEL JAMES BEAUREGARD (NPI# 1831427731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831427731 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES BEAUREGARD |
| Credential | D.D.S. |
| Practice Address |
11105 E Winner Rd Independence MO 64052-3837 |
| Practice Telephone | 8162526393 |
| Practice Fax Number | 8162526393 |
| Mailing Telephone | 8162526393 |
| Mailing Fax Number | 8162526393 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
015858 | MO | Dental Providers |
| Street Address |
11105 E WINNER RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64052-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1548425127 | Harry S Truman Childrens Neurological Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 So. Englewood Terr., Independence, MO 64052 | 2008-07-23 |
| 1902084122 | Thomas F Bembynista | Podiatrist | 10612 E 18 St, Independence, MO 64052 | 2008-02-11 |
| 1558569103 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 S. Blue Ridge Blvd, Independence, MO 64052 | 2007-07-05 |
| 1861511859 | Heartland Medical Care PC | Clinic/Center | 10010 E Truman Road, Independence, MO 64052 | 2007-03-28 |
| 1720163496 | Regional Foot Centers Pa | Podiatrist | 10612 E 18th, Independence, MO 64052 | 2006-10-25 |
| 1396841771 | Connie Elaine Anderson | Chiropractor | 3501 S Sterling, Suite D, Independence, MO 64052 | 2006-09-15 |
| 1932201191 | Bruce L Duncan | Chiropractor | 10912 E Winner Road, Independence, MO 64052 | 2006-09-01 |
| 1447337472 | Tammy A Noller | Counselor | 10901 Winner Road, Independence, MO 64052-0169 | 2006-11-01 |
| 1033189816 | Bruno H Zwerenz | Psychiatry & Neurology | 10901 Winner Rd, Comprehensive Mental Health Services, Independence, MO 64052-0169 | 2006-01-25 |
| Find all providers in zip 64052 | ||||
| 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 |
|---|---|---|---|---|
| 1568946523 | Thomas M Bilski Dds and Associates Inc | Dentist | 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 | 2018-09-17 |
| 1790276442 | Julia Suzanne Jenkins | Dentist | 2052 Harris Pike # 54, Independence, KY 41051-7783 | 2018-05-29 |
| 1760920805 | Mortenson Family Dental Center - Independence, LLC | Dentist | 2052 Harris Pike, Independence, KY 41051-7783 | 2017-02-09 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1154737658 | Devishkumar H Patel | Dentist | 2320 W Main St, Independence, KS 67301-8435 | 2014-07-03 |
| 1609182286 | Jeffrey David Peter | Dentist | 2025 Declaration Dr Ste B, Independence, KY 41051-7983 | 2010-08-20 |
| 1679733265 | Porter James Clark | Dentist | 422 E Main St, Independence, KS 67301-3716 | 2008-06-17 |
| 1447458773 | Danny Nakhla | Dentist | 5302 Madison Pike, Independence, KY 41051-8652 | 2007-07-09 |
| 1609071067 | Carl James Stefaniak | Dentist | 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 | 2007-06-17 |
| 1457554933 | Leann Thuy Nguyen | Dentist | 3905 S Lynn Ct, Independence, MO 64055-3337 | 2007-06-11 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64052 |
Please comment or provide details below to improve the information on DR. MICHAEL JAMES BEAUREGARD.
| 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.