Kevin W Beadle, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010865A Issued in IN

Practice address

6196 Strathaven Rd
Noblesville, IN 46062-4628

Phone

(317) 709-2318

NPI assigned

Jul 31, 2006

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

State licenses

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.

• Kokomo Pediatric Dentistry, LLC

  • Public Health Dentistry
  • Kokomo, IN
  • NPI 1063904100
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1376559393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 STRATHAVEN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460624628",
            "telephone_number": "317-709-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 STRATHAVEN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460624628",
            "telephone_number": "317-709-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADLE",
        "first_name": "KEVIN",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010865A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Barsness, M.S., CCC-SLP
• Jessica Judd Bates
• Kelly N Batten, PMHNP
• Janet Ruth Bazzell, LCSW
• Abraham W Beaber II, D.C.
• William Bean, MD
• Meghann Beaver
• Walter Beaver, MD
• Holly Beber
• Nicole Bebiak

• Pediatric Dentistry in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.