1. Home
  2. Directory
  3. Kentucky
  4. Danville
  5. Dentist
  6. NPI Profile

DANVILLE ORAL AND MAXILLOFACIAL SURGERY
NPI 1730259292
Dentist - Oral and Maxillofacial Surgery in Danville, KY

Active since November 09, 2006
400 S 4TH ST, DANVILLE, KY 40422(859) 236-1130(859) 239-9384 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danville Oral And Maxillofacial Surgery NPPES

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

DANVILLE ORAL AND MAXILLOFACIAL SURGERY (NPI 1730259292) is a healthcare organization registered as an oral and maxillofacial surgery in Danville, Kentucky and active in the NPI registry since November 2006. The organization lists Sherry L Peavler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730259292
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBETO & BOGARDUS
Location Address400 S 4TH STDanville, KY 40422-2007
Mailing Address400 S 4th St Ste 201Danville, KY 40422-2094 · (859) 236-1130 · Fax (859) 239-9384
Phone(859) 236-1130
Fax(859) 239-9384
Organization SubpartNo
Authorized OfficialSherry L PeavlerOffice Manager · (859) 236-1130
Enumeration DateNovember 9, 2006
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1730259292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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 ListedSpecialistTaxonomy 174400000X
400 S 4TH ST, Danville, KY 40422
Open in Google Maps ↗

Other Names 1

Other NameDanville Oral And Maxillofacial Surgery

Other Identifiers 13

Medicare UPINU84874KY
Medicare ID-Type Unspecified0201304KY · Dr. Bogardus
Medicare UPINT83942KY
Medicare ID-Type Unspecified0201306KY · Dr. Gonty
Medicaid64031842KY
Medicare PIN0047613KY
Medicare PIN2013
Medicare UPINU70781KY
Medicaid61941860KY
Medicare UPINT53926KY
Medicare ID-Type Unspecified0201301KY · Dr. Bogardus
Medicaid65912990KY
Medicaid60003175KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danville Oral And Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Danville Oral And Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Louis Beto, D.M.D.
Maxillofacial Surgery
NPI 1114981420
400 S 4TH ST
Danville, KY 40422
(859) 236-1130
✔ PECOSSame address
Amy Bogardus, D.M.D.
Maxillofacial Surgery
NPI 1558325878
400 S 4TH ST
Danville, KY 40422
(859) 236-1130
✔ PECOS✔ Accepts MedicareSame address
Justin Kolasa, D.M.D., M.D.
Oral Surgery
NPI 1598100372
400 S 4TH ST
Danville, KY 40422
(859) 236-1130
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beto & Bogardus's NPI number?

The NPI number for Beto & Bogardus is 1730259292. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Danville Oral And Maxillofacial Surgery.

Where is Beto & Bogardus located?

Beto & Bogardus is located at 400 S 4th St, Danville, KY 40422. The listed phone number is (859) 236-1130.

What is Beto & Bogardus's specialty?

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

Is Beto & Bogardus enrolled in Medicare?

Yes. Beto & Bogardus is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beto & Bogardus?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Beto & Bogardus, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beto & Bogardus accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Beto & Bogardus 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 Beto & Bogardus was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.