Kristen Melissa Beavers, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12010891A Issued in IN

Practice address

890 E 116TH St
210
Carmel, IN 46032-3475

Phone

(317) 575-8993

Fax

(317) 575-8987

NPI assigned

Mar 21, 2007

Last updated

Aug 25, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentistry on 116, Inc.

  dba Dentistry on 116 Aileen C. Helton DDS

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1114137932
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1255456778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST",
            "address_2": "210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323475",
            "telephone_number": "317-575-8993",
            "fax_number": "317-575-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST",
            "address_2": "210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323475",
            "telephone_number": "317-575-8993",
            "fax_number": "317-575-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "KRISTEN",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010891A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200836270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon of Change Counseling LLC
• Brianna Bean, AU.D.
• Rachel Beauchamp, MOTR
• Beautiful You Family Dental
• Erin L. Beaver
• Philip Reid Beaverson, PT
• Sydney Bebar, LMHC
• Katelyn Becht, FNP-C
• Mary Beth Becht, R.D.
• Logan Beck

• Dentist in Carmel, IN
• Providers in Carmel, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.