DR. BEAU PORTER D.D.S.
NPI 1902242522
Dentist in Edmond, OK

Q: What is Beau Porter's NPI number?

The NPI number for Beau Porter is 1902242522. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Q: What is Beau Porter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beau Porter was last updated on November 4, 2016. 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.

Active since May 22, 2013PECOS Enrolled

1616 S BOULEVARD, EDMOND, OK 73013(405) 348-2641 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Beau Porter D.d.s. NPPES

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

DR. BEAU PORTER D.D.S. (NPI 1902242522) is an individual dentist in Edmond, Oklahoma, licensed in Oklahoma (6507) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902242522

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BEAU PORTERCredential: D.D.S.

Location Address1616 S BOULEVARDEdmond, OK 73013-5155

Mailing Address1616 S BoulevardEdmond, OK 73013-5155 · (405) 348-2641

Phone(405) 348-2641

Sole ProprietorNo

Enumeration DateMay 22, 2013

Last NPPES UpdateNovember 4, 2016

✔ NPI 1902242522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 6507

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.

1616 S BOULEVARD, Edmond, OK 73013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Beau Porter D.d.s. 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 73013 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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 Porter's NPI number?

The NPI number for Beau Porter is 1902242522. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Beau Porter located?

Beau Porter practices at 1616 S Boulevard, Edmond, OK 73013. The listed phone number is (405) 348-2641.

What is Beau Porter's specialty?

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

Is Beau Porter enrolled in Medicare?

Yes. Beau Porter is registered in the Medicare PECOS enrollment system.

What insurance does Beau Porter accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Beau Porter 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 Porter was last updated on November 4, 2016. 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.