Beverly a Largent, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5466 Issued in KY

Legal business name

BEVERLY A LARGENT, D.M.D.

Practice address

3008 Oregon St
Paducah, KY 42001-5651

Phone

(270) 554-5437

Fax

(270) 554-5236

NPI assigned

Sep 21, 2007

Last updated

Jan 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly LargentNPI 1700946647

Title

Owner/Dentist

Phone

(270) 554-5437

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly A Largent, D.M.D.

  • Pediatric Dentistry
  • Paducah, KY
  • NPI 1700946647
  NPD (past) Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1316133499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 OREGON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015651",
            "telephone_number": "270-554-5437",
            "fax_number": "270-554-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 OREGON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015651",
            "telephone_number": "270-554-5437",
            "fax_number": "270-554-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A LARGENT, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "270-554-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100001640",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60054665",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Benjamin, LPCC
• Deidra Burkeen Berg, APRN
• Bernard L Hayden MD PSC
• John L Berry
• Laurin Berry
• Shauna J Beyer, SLP
• BHG Lviii, LLC (BHG Medical Services Kentucky)
• BHG Lviii, LLC
• BHG Xxxiii, LLC
• Griffin Keith Bicking, D.O.

• Pediatric Dentistry in Paducah, KY
• Providers in Paducah, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.