Clay Allen Beshore, D.D.S.
Dentist, General Practice in Lawrence, KS. Individual provider (NPI-1).
NPI number1508848466
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1508848466
- Entity type
- Individual (NPI-1)
- Name
- Clay Allen Beshore
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6588 | KS | Yes |
Practice location
4621 W 6th St Ste BLawrence, KS 66049-4358
Phone 785-856-8550
Mailing address
4621 W 6th St Ste BLawrence, KS 66049-4358
Phone 785-856-8550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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