Kenneth E. Beard, DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

License

2223 Issued in TN

Legal business name

KENNETH E. BEARD, DDS,PC

Practice address

415 25TH St NW
Cleveland, TN 37311-3892

Phone

(423) 476-6541

Fax

(423) 472-7719

NPI assigned

Nov 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth E Beard, DDSNPI 1558507616

Title

President

Phone

(423) 476-6541

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Eugene Beard, D.D.S

  • Dentist
  • Cleveland, TN
  • NPI 1558507616
  NPD (past) Authorized official
• Brian Kendall Beard, D.M.D

  • General Practice Dentistry
  • Cleveland, TN
  • NPI 1568794212
  NPD (past)
• Baylor Terrell, DDS

  • General Practice Dentistry
  • Cleveland, TN
  • NPI 1861179632
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1003160599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113892",
            "telephone_number": "423-476-6541",
            "fax_number": "423-472-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113892",
            "telephone_number": "423-476-6541",
            "fax_number": "423-472-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. BEARD, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-476-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "2223",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Keller, DPH
• Melody Rae Wallace Kelley, CBD (AWWS)
• Kelli Jackson
• Taylor Nichole Kelso
• Ajitkumar Kemkar, MD
• Casey Ann Kent, DC
• Miranda Keplinger, LPC-MHSP
• Casey Renee Kepner, FNP
• Kathleen M Kerecman, MS, LAT, ATC
• Chester L Kessler, P.T.

• Dentist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.