Basic Information
| Provider Information | |||||||||
| NPI: | 1376594465 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEGGS | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1337 | ||||||||
| Address2: | |||||||||
| City: | GALLUP | ||||||||
| State: | NM | ||||||||
| PostalCode: | 873051337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5057221000 | ||||||||
| FaxNumber: | 5057221192 | ||||||||
| Practice Location | |||||||||
| Address1: | 516 EAST NIZHONI BLVD. | ||||||||
| Address2: | |||||||||
| City: | GALLUP | ||||||||
| State: | NM | ||||||||
| PostalCode: | 873011337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5057221000 | ||||||||
| FaxNumber: | 5057221192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2006 | ||||||||
| LastUpdateDate: | 06/04/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 30242 | MN | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 34436300 | 05 | WI | MEDICAID | 0579227 | 05 | IA | MEDICAID | 16-02960 | 01 | MN | MEDICA | OTHER | 2130169 | 01 | MN | AMERICA'S PPO | OTHER | 479T7BE | 01 | MN | BLUE CROSS | OTHER | 131412 | 01 | MN | UCARE | OTHER | 291987700 | 05 | MN | MEDICAID | 479T6BE | 01 | MN | BLUE CROSS | OTHER | 253805 | 01 | MN | MIDLANDS CHOICE INC | OTHER | P00108760 | 01 | MN | RAILROAD MEDICARE MN | OTHER | 1040741 | 01 | MN | PREFERRED ONE | OTHER | 9222492 | 01 | MN | DAKOTA CARE | OTHER | HP40981 | 01 | MN | HEALTH PARTNERS | OTHER |