Active NPI
Kimball & Beecher Cedar Rapids, PLLC
- General Practice Dentistry
- Waterloo, IA
National Provider Identifier
1174060883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Cedar Rapids, IA
- NPI 1285749127
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.