Kimberly E Beal, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12174 Issued in GA

Practice address

2440 Fairburn Rd SW
Suite 301
Atlanta, GA 30331-5256

Phone

(404) 349-7777

Fax

(404) 349-8459

NPI assigned

Jan 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Family and Children'S Dentistry & Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
  • NPI 1922764653

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official
• Family and Children'S Dentistry, PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1972654044

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154479418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315256",
            "telephone_number": "404-349-7777",
            "fax_number": "404-349-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315256",
            "telephone_number": "404-349-7777",
            "fax_number": "404-349-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "12174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Health Care Services
• Beacon Healthcare, Inc.
• Deslyn Adrianna Beade, MA
• Katie L Beak, NP
• Eddie Clifford Beal, M.D.
• Lena Danielle Beal, MS., RD., LD.
• Laura Beals
• Jeromey Chaderias Beaman, MD
• Heather Bean, CNP
• Marguerite Edmonds Bean

• All providers in Atlanta, GA
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• 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.