Charles Beard, D.D.S.,MS.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

011135 Issued in MO

Practice address

204 S Clay Ave
Kirkwood, MO 63122-4207

Phone

(314) 965-3555

Fax

(314) 725-7235

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033201975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S CLAY AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224207",
            "telephone_number": "314-965-3555",
            "fax_number": "314-725-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S CLAY AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224207",
            "telephone_number": "314-965-3555",
            "fax_number": "314-725-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,MS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "011135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Barnes, OTD, OTR/L
• Barry D Brace, DMD & Associates, PC
• Katheryn Anne Camp Barton, LPC, M.ED.
• Amy Bates
• Patrice Bathon
• Meredith Mallory Beard, M.S.W., L.C.S.W.
• Carolyn Beckham
• Martha C Beebe, O.D.
• Dustin M Behan, B.S.
• Behavior Connections, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.