Avery Brooke Beard, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

62661 Issued in KS

Practice address

13121 E 21St St N Ste 107
Wichita, KS 67230-7403

Phone

(316) 630-9500

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R2 Center for Dentistry GPS, LLC

  dba R2 Center for Dentistry

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1821888512
  NPD (past)
• Reusser & Reusser, L.L.C

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1962646851
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1043871445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 E 21ST ST N STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307403",
            "telephone_number": "316-630-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 E 21ST ST N STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307403",
            "telephone_number": "316-630-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "AVERY",
        "middle_name": "BROOKE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "62661",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r2docs@r2dentistry.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "13121 E 21st St N Ste 107",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672307403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlyn Beam
• Kati Irene Beam, D.D.S.
• Patricia Beamer, APRN
• Russell Larry Beamer, MD
• Robert Harold Bean, PH.D.
• Jennifer K Beard, MSN, APRN, PMHNP
• Sheryl M Beard, M.D.
• Sarah E Beardslee, LCPC
• Cynthia Lou Beasley
• Cody L Beaton, LSCSW, LCAC

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.