DR. ALEXANDER BEAVERS (NPI# 1891166989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891166989 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER BEAVERS |
| Other Name | DR. ALEX BEAVERS |
| Credential | DMD |
| Practice Address |
403 Locust St Carrollton IL 62016-1304 |
| Practice Telephone | 2179426964 |
| Mailing Telephone | 2179426964 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019030499 | IL | Dental Providers |
| Street Address |
403 LOCUST ST |
| City | CARROLLTON |
| State | IL |
| Zip Code | 62016-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209972 | Dee Anna Darr | Speech-Language Pathologist | 109 2nd St, Carrollton, IL 62016 | 2006-08-30 |
| 1023125283 | Lisa A Hart | Chiropractor | 307 6th St, Carrollton, IL 62016 | 2006-08-24 |
| 1972536761 | R Scott Beavers | Dentist | 403 Locust, Carrollton, IL 62016 | 2006-07-08 |
| 1568557593 | Pharmacy Plus Inc | Pharmacy | 508 N Main St, Carrollton, IL 62016-1027 | 2006-10-04 |
| 1912319039 | Ethan Ridenour | Occupational Therapy Assistant | 320 4th Street, Carrollton, IL 62016-1135 | 2014-05-22 |
| 1700148194 | Hamel Chiropractic Clinic LLC | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-12 |
| 1184986754 | Justin Kyle Hamel | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-11 |
| 1275779415 | All Hart Chiropractic Inc | Clinic/Center | 307 6th St, Carrollton, IL 62016-1247 | 2008-12-17 |
| 1427270941 | James Uhles | Pediatrics | 523 S Main St, Carrollton, IL 62016-1251 | 2007-05-03 |
| 1932234622 | Illini Medical Associates Sc | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2007-02-22 |
| Find all providers in zip 62016 | ||||
| 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 |
|---|---|---|---|---|
| 1770192692 | Michelle Nguyen | Dentist | 1457 Summerhill Dr, Carrollton, TX 75007-6049 | 2020-07-27 |
| 1629611587 | Vincent Dirusso | Dentist | 1801 Crest View Dr, Carrollton, TX 75006-1609 | 2019-10-23 |
| 1508411844 | Steven Christopher Renas | Dentist | 1930 E Rosemeade Pkwy Ste 103, Carrollton, TX 75007-2467 | 2019-08-05 |
| 1912483942 | Asana Family Dental Pllc | Dentist | 1235 S Josey Ln Ste 534, Carrollton, TX 75006-7684 | 2018-07-12 |
| 1578059002 | Richard Sung | Dentist | 1204 N Josey Ln, Carrollton, TX 75006-6117 | 2018-07-09 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1710331582 | Dowell Dental Third Street LLC | Dentist | 25 3rd St Ne, Carrollton, OH 44615-1205 | 2016-04-19 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1740600931 | Ayesha Noor Malik | Dentist | 2904 Old Denton Rd, Suite 112, Carrollton, TX 75007 | 2014-04-26 |
| 1689016495 | Namrata Chirag Shah | Dentist | 1513 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6466 | 2013-07-22 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 62016 |
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| 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.