Active NPI
David Lee Beard, DDS
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1093242927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30025451
- Practice address
- 4536 Karl Rd
Columbus, OH 43224-1122 - Phone
- (614) 447-2244
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30025451 | OH | Primary |
Addresses
Primary practice location
4536 Karl Rd
Columbus, OH 43224-1122
Mailing address
1245 Park Ave Apt 2E
New York, NY 10128-1736
Phone (614) 940-9772
Other practice location 1
1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | beardfamilydentistry.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30025451 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacinto W. Beard D.D.S., Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Columbus, OH
- NPI 1225187032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1093242927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 PARK AVE APT 2E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281736",
"telephone_number": "614-940-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4536 KARL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432241122",
"telephone_number": "614-447-2244"
}
],
"practiceLocations": [
{
"address_1": "1824 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100353832",
"country_code": "US",
"telephone_number": "212-423-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARD",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30025451",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "beardfamilydentistry.com",
"affiliation": "N",
"address_1": "4536 Karl Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432241122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.