Organization
SHARE OUR SELVES CORPORATION
Active
Organization
SHARE OUR SELVES CORPORATION
Active
Other names
SOS - Beauchamp Dental Center, SOS - Dr. Robert & Dorothy Beauchamp Children & Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY WARD (CEO)
(949) 536-3927
Entity
Organization
Contact information
Practice address
307 PLACENTIA AVE STE 202, NEWPORT BEACH, CA 92663-3308
(949) 270-2100
(949) 515-5804
Mailing address
PO BOX 10159, COSTA MESA, CA 92627-0050
(949) 270-2100
(949) 515-5804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
07/29/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up