Individual provider Active NPI

Frankie Jo Bearly, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1508926775
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8468 Issued in SC
Practice address
411 Nichols Rd
#256
Kansas City, MO 64112
Phone
(816) 931-2342
Fax
(816) 931-1859
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14083 MO
General Practice Dentistry 1223G0001X 8468 SC Primary

Addresses

Primary practice location

411 Nichols Rd
#256
Kansas City, MO 64112

Mailing address

411 Nichols Rd
#256
Kansas City, MO 64112
Phone (816) 931-2342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14083MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1508926775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "#256",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-2342",
            "fax_number": "816-931-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "#256",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-931-2342",
            "fax_number": "816-931-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARLY",
        "first_name": "FRANKIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14083",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.