Beaver Creek Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10067 Issued in TN

Legal business name

BEAVER CREEK DENTAL PLLC

Practice address

7652 Oak Ridge Hwy
Knoxville, TN 37931-3335

Phone

(865) 896-3065

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By 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

Dr. Kyle Robert Smith, DDSNPI 1073993952

Title

Dentist

Phone

(865) 256-0661

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kyle Robert Smith, D.D.S.

  • General Practice Dentistry
  • Seymour, TN
  • NPI 1073993952
  NPD (past) Authorized official
• Reagan McNerney, D.M.D.

  • General Practice Dentistry
  • Maryville, TN
  • NPI 1518564210
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1518407766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313335",
            "telephone_number": "865-896-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313335",
            "telephone_number": "865-896-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-256-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Beaty
• Kristin Beaty
• Magda M Beauchamp, MD
• Valeria Beauchamp, PA
• Danielle Beaudette, M.S. CF-SLP
• Shane Beaver
• Because of You Home Care LLC (dba Care Minders Home Care)
• Alicia Beck, FNP
• Katherine Williams Beck, APN-BC
• Philip Beck, B.A.

• Dental Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.