DR. BEAU MCKENZIE SOARES D.D.S.
NPI 1205018629
Dentist - Oral and Maxillofacial Surgery in Anaheim Hills, CA

Active since November 27, 2007Opted out of Medicare · through Mar 10, 2028
500 S ANAHEIM HILLS RD, SUITE #222, ANAHEIM HILLS, CA 92807(714) 974-5906(714) 974-5982 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beau Mckenzie Soares D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BEAU MCKENZIE SOARES D.D.S. (NPI 1205018629) is an individual oral and maxillofacial surgery provider in Anaheim Hills, California, licensed in California (56076) and active in the NPI registry since November 2007. He has opted out of Medicare through March 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205018629
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BEAU MCKENZIE SOARESCredential: D.D.S.
Location Address500 S ANAHEIM HILLS RD, SUITE #222Anaheim Hills, CA 92807-4780
Mailing Address500 S Anaheim Hills Rd, Suite #222Anaheim Hills, CA 92807-4780 · (714) 974-5906 · Fax (714) 974-5982
Fax(714) 974-5982
Sole ProprietorYes
Enumeration DateNovember 27, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1205018629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 56076
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 56076 (CA)
500 S ANAHEIM HILLS RD, Anaheim Hills, CA 92807

Other Identifiers 1

Other56076CA · Dental License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Beau Mckenzie Soares D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2022 through March 10, 2028.

Opt-Out Effective DateMarch 10, 2022
Opt-Out In Effect ThroughMarch 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 S ANAHEIM HILLS RD, STE 200
ANAHEIM HILLS, CA 92807
Physical Therapist
500 S ANAHEIM HILLS RD, SUITE 106
ANAHEIM, CA 92807
Clinic/Center (Ambulatory Surgical)
500 S ANAHEIM HILLS RD, SUITE 128
ANAHEIM, CA 92807
Optometrist
500 S ANAHEIM HILLS RD
ANAHEIM, CA 92807
Pediatrics
500 S ANAHEIM HILLS RD, SUITE 234
ANAHEIM HILLS, CA 92807
Family Medicine
500 S ANAHEIM HILLS RD, STE 242
ANAHEIM, CA 92807
Pediatrics
500 S ANAHEIM HILLS RD, 234
ANAHEIM, CA 92807
Internal Medicine
500 S ANAHEIM HILLS RD, #206
ANAHEIM HILLS, CA 92807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beau Soares's NPI number?

The NPI number for Beau Soares is 1205018629. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Beau Soares located?

Beau Soares practices at 500 S Anaheim Hills Rd Suite #222, Anaheim Hills, CA 92807. The listed phone number is (714) 974-5906.

What is Beau Soares's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Beau Soares enrolled in Medicare?

No. Beau Soares has opted out of Medicare through March 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Beau Soares accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Beau Soares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Soares was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.