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Dr. Ralf Beilhardt , DDS

Dentist - General Practice β€’ Fort Drum, NY

Active NPI 1104829761 Individual Practitioner Male Practitioner
Practice location in NPPES

10590 Enduring Freedom Dr
Fort Drum, NY 136025503

Call 3157724342 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10590 Enduring Freedom Dr

Fort Drum, NY 136025503

Telephone 3157724342

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Drum and New York

9 active clinicians are listed under Dentist - General Practice with a practice address in Fort Drum, NY (7,833 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AR 3240

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MO 2010040599

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES AR 3240

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1992796981

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 16, 2024

Registered at 10590 ENDURING FREEDOM DR, FORT DRUM, NY 136025503 (Tel: 3157724342)

πŸ“
Updated Business Mailing Address July 16, 2024

Registered at DENTAL HEALTH ACTIVITY, 10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602 (Tel: 3157724342)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Dentist (license number reported to NPPES: MO 2010040599)

πŸ“
Updated Practice Location March 10, 2021

Registered at 6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 654731618 (Tel: 5735960334)

πŸ“
Updated Business Mailing Address March 10, 2021

Registered at 6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 654731618 (Tel: 5735960334)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Dentist (license number reported to NPPES: AR 3240)

βœ…
NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2016

Registered at CMR 402, BLDG 3703, ROOM 205, APO, AE 09180 (Tel: 01149637194644308)

πŸ“
Business Mailing Address (Initial Record) July 25, 2016

Registered at CMR 402, BLDG 3703, ROOM 205, APO, AE 09180 (Tel: 01149637194644308)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2016

Recorded as RALF BEILHARDT, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Dentist (license number reported to NPPES: MO 2010040599)

🟒
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104829761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: July 16, 2024
Sole Proprietor: Yes

Mailing Address

Dental Health Activity, 10590 Enduring Freedom Drive

Fort Drum, NY 13602

Phone: 3157724342

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.