Organization Active NPI

Kimball & Beecher Cedar Rapids, PLLC

  • General Practice Dentistry
  • Waterloo, IA
National Provider Identifier
1174060883
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIMBALL & BEECHER CEDAR RAPIDS, PLLC
Practice address
4015 Hurst Dr
Waterloo, IA 50701-9035
Phone
(319) 235-6287
Fax
(319) 232-3171
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Beau Beecher, DDS
Title
Owner/Dentist
Phone
(319) 235-6287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4015 Hurst Dr
Waterloo, IA 50701-9035

Mailing address

2120 Westdale Dr SW
Cedar Rapids, IA 52404-6318
Phone (319) 396-5336

National Provider Directory

National Provider Directory

Locations

2120 Westdale Dr SW
Cedar Rapids, IA 52404
Phone (319) 396-5336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1174060883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 WESTDALE DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046318",
            "telephone_number": "319-396-5336",
            "fax_number": "319-396-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 HURST DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019035",
            "telephone_number": "319-235-6287",
            "fax_number": "319-232-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL & BEECHER CEDAR RAPIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BEECHER",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "319-235-6287",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.