Kristen Beeler Conner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8379 Issued in TN

Practice address

4972 Highway 58 Ste 114
Chattanooga, TN 37416

Phone

(423) 894-5223

Fax

(423) 894-5224

NPI assigned

Sep 5, 2006

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 names 1

• Dr. Kristen Duncan Beeler Former name

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 and National Provider Directory roles.

• Professional Dental Alliance of Tennessee, PLLC

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1730725953
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1073615464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 HIGHWAY 58 STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161868",
            "telephone_number": "423-894-5223",
            "fax_number": "423-894-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 HIGHWAY 58 STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37416",
            "telephone_number": "423-894-5223",
            "fax_number": "423-894-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELER CONNER",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BEELER",
            "middle_name": "DUNCAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Nicolle Becker
• Jaclyn Beckler, LCSW, CCTP, C-DBT
• Richard W Beckmann, CRNA
• Marilyn E Beckner, PT
• Mackenzie Nicole Beckwith, DC
• Barbara Ann Beeler, MD
• Synthia L Beeler, MD
• Randall Beene
• Zachary Ryan Beene, MSPT
• Angela Behar, RPH PHARMD

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.