NPIMap

Organization Active NPI

Kimball and Beecher Marshalltown PLLC

  • General Practice Dentistry
  • Marshalltown, IA
National Provider Identifier
1295100907
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7999 Issued in IA
Legal business name
KIMBALL AND BEECHER MARSHALLTOWN PLLC
Practice address
101 E Southridge Rd
Marshalltown, IA 50158-4552
Phone
(641) 753-3383
NPI assigned
Dec 7, 2015
Organization subpart
Yes
Parent organization
KIMBALL AND BEECHER FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Mrs. Molly Elizabeth Spence
Title
Billing/Insurance Manager
Phone
(319) 235-6287

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7999 IA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8759 IA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8035 IA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6067 IA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5964 IA

Addresses

Primary practice location

101 E Southridge Rd
Marshalltown, IA 50158-4552

Mailing address

4015 Hurst Dr
Waterloo, IA 50701-9035
Phone (319) 235-6287

Other identifiers 2

IdentifierTypeStateIssuer
129460MedicaidIA
137828MedicaidIA

National Provider Directory

National Provider Directory

Locations

101 E Southridge Rd
Marshalltown, IA 50158
Phone (641) 351-4447

Practitioners & affiliated clinicians

Practitioners 2

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": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1295100907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HURST DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019035",
            "telephone_number": "319-235-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SOUTHRIDGE RD",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584552",
            "telephone_number": "641-753-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL AND BEECHER MARSHALLTOWN PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBALL AND BEECHER FAMILY DENTISTRY",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING/INSURANCE  MANAGER",
        "authorized_official_telephone_number": "319-235-6287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7999",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8759",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8035",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6067",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129460",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137828",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.