Bearden Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS8702 Issued in TN

Legal business name

BEARDEN PEDIATRIC DENTISTRY PLLC

Practice address

601 Concord St
Suite 102-104
Knoxville, TN 37919-3307

Phone

(865) 851-9347

Fax

(865) 851-7849

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Evans

Title

DDS

Phone

(865) 851-9347

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1083975536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CONCORD ST",
            "address_2": "SUITE 102-104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193307",
            "telephone_number": "865-851-9347",
            "fax_number": "865-851-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CONCORD ST",
            "address_2": "SUITE 102-104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193307",
            "telephone_number": "865-851-9347",
            "fax_number": "865-851-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARDEN PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "865-851-9347",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS8702",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TN",
            "license": "DS8702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danna Beard, PT, MTC
• Jessica Marion Beard
• Bearden Behavioral Health, LLC
• Bearden Chiropractic Clinic, P.C.
• Bearden Healthcare Associates Inc
• Bearden Psychological & Wellness Center, PLLC
• Bearden Psychological and Wellness Center
• Gina L Bearden, FNP
• Kathryn A Bearden
• Ashley Catelynn Beasley, RN

• Pediatric Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.