Organization Active NPI

Beechwood Dental Center, PC

  • General Practice Dentistry
  • Clarksville, IN
National Provider Identifier
1255445995
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008699 Issued in IN
Legal business name
BEECHWOOD DENTAL CENTER, PC
Practice address
639 Eastern Blvd Ste B
Clarksville, IN 47129-2460
Phone
(812) 282-1773
Fax
(812) 282-1791
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. James Kevin Harper, DDSNPI 1013162668
Title
Member
Phone
(812) 282-1773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12008699 IN Primary

Addresses

Primary practice location

639 Eastern Blvd Ste B
Clarksville, IN 47129-2460

Mailing address

639 Eastern Blvd Ste B
Clarksville, IN 47129-2460
Phone (812) 282-1773

National Provider Directory

National Provider Directory

Locations

639 Eastern Blvd
Ste B
Clarksville, IN 47129
Phone (812) 282-1773

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1255445995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 EASTERN BLVD STE B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292460",
            "telephone_number": "812-282-1773",
            "fax_number": "812-282-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 EASTERN BLVD STE B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292460",
            "telephone_number": "812-282-1773",
            "fax_number": "812-282-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOOD DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-282-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.