Katherine Elizabeth Behm

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN25408 Issued in FL

Practice address

1111 N Parkway Frontage Rd
Lakeland, FL 33803-0400

Phone

(863) 644-2408

NPI assigned

Feb 16, 2020

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bopp and Tarver PLLC

  • Pediatric Dentistry
  • Lakeland, FL
  • NPI 1023318052
  NPD (past)

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1457984668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E KENNEDY BLVD UNIT 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023543",
            "telephone_number": "770-238-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N PARKWAY FRONTAGE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338030400",
            "telephone_number": "863-644-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12977 US 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787647",
            "country_code": "US",
            "telephone_number": "813-940-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHM",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN25408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114563400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavior Analysis Consultants of Mid Florida LLC
• Behavioral Growth Center ABA. LLC
• Behavioral Health Professionals LLC
• Behavioral Progression Inc
• Behavioral Progression Inc
• Jasie Behrens, PA
• Mary Elisabeth Beikirch-Godwin, MA, LMHC, CAP
• Paula Marie Beikirch, ARNP
• Being Well Chiropractic and Natural Health Inc
• Katie Belcher-Miller, LMHC

• Pediatric Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.