Individual provider Active NPI

Kristen Tomlinson Beabout, DDS

  • Dentist
  • Richmond, VA
National Provider Identifier
1013149350
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412497 Issued in VA
Practice address
1130 Wilkinson Rd
Richmond, VA 23227-1623
Phone
(804) 261-4020
Fax
(804) 261-6839
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412497 VA Primary

Addresses

Primary practice location

1130 Wilkinson Rd
Richmond, VA 23227-1623

Mailing address

1130 Wilkinson Rd
Richmond, VA 23227-1623
Phone (804) 261-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401412497VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1013149350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WILKINSON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271623",
            "telephone_number": "804-261-4020",
            "fax_number": "804-261-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WILKINSON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271623",
            "telephone_number": "804-261-4020",
            "fax_number": "804-261-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEABOUT",
        "first_name": "KRISTEN",
        "middle_name": "TOMLINSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.