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DR. BRADLEY THOMAS BEAUCHENE DDS
NPI 1679139737
Dentist in White Bear Lake, MN

Active since May 14, 2019PECOS Enrolled
4754 WASHINGTON SQ, WHITE BEAR LAKE, MN 55110(651) 426-9499(651) 429-6255 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Feb 6, 2024, May 14, 2019 (3 updates tracked since 2019).

About Dr. Bradley Thomas Beauchene Dds NPPES

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

DR. BRADLEY THOMAS BEAUCHENE DDS (NPI 1679139737) is an individual dentist in White Bear Lake, Minnesota, licensed in Minnesota (D14189) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679139737
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLEY THOMAS BEAUCHENECredential: DDS
Location Address4754 WASHINGTON SQWhite Bear Lake, MN 55110-3257
Mailing Address4754 Washington SqWhite Bear Lake, MN 55110-3257 · (651) 426-9499 · Fax (651) 429-6255
Phone(651) 426-9499
Fax(651) 429-6255
Sole ProprietorNo
Enumeration DateMay 14, 2019
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1679139737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D14189
Definition
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.
4754 WASHINGTON SQ, White Bear Lake, MN 55110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Thomas Beauchene Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 2

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

STEVEN LINDEN JR.
Dentist
4754 WASHINGTON SQ
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-9499
ISLA PLLC
Dentist (General Practice)
4754 WASHINGTON SQ
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 353-6652

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 Bradley Beauchene's NPI number?

The NPI number for Bradley Beauchene is 1679139737. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Bradley Beauchene located?

Bradley Beauchene practices at 4754 Washington Sq, White Bear Lake, MN 55110. The listed phone number is (651) 426-9499.

What is Bradley Beauchene's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bradley Beauchene enrolled in Medicare?

Yes. Bradley Beauchene is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Beauchene accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Bradley Beauchene 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 Bradley Beauchene was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.