Jared Hunter Beaird, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018221 Issued in MO

Practice address

1611 Lurlyn Drive
Suite a
Poplar Bluff, MO 63901

Phone

(573) 778-0200

Fax

(573) 778-0214

NPI assigned

Jun 15, 2012

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1295097160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 LURLYN DR",
            "address_2": "SUITE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012763",
            "telephone_number": "573-778-0200",
            "fax_number": "573-778-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 LURLYN DRIVE",
            "address_2": "SUITE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-778-0200",
            "fax_number": "573-778-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRD",
        "first_name": "JARED",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "018221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Lee Bates, OTR/L
• Jill Baugh, PT
• Jacob N Baugus, LCSW
• Hannah Marie Baxter
• Roderick O Baz, M.D.
• Crystal Yvonnie Beard
• Chantel Nicole Beaudry
• Jennifer Becking, MSW, LCSW
• Bruce Allen Belcher, HIS
• Donna Sue Belcher, BC-HIS

• General Practice Dentistry in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.