Beard Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2012018223 Issued in MO

Legal business name

BEARD FAMILY DENTAL, LLC

Practice address

1809 W 10TH St
Sedalia, MO 65301-5101

Phone

(660) 826-5860

Fax

(660) 826-5865

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Lisa R Tilman

Title

Office Manager

Phone

(660) 826-5860

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony K Beard, D.D.S.

  • General Practice Dentistry
  • Sedalia, MO
  • NPI 1497001622
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1578819702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015101",
            "telephone_number": "660-826-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015101",
            "telephone_number": "660-826-5860",
            "fax_number": "660-826-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARD FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-826-5860"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012018223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Baldwin
• Olivia Maree Ballard, HIS
• Angelina Banakh, DH
• Alexandra Elizabeth Bankovich
• Linda Kay Barbour, LPC
• Anthony K Beard, D.D.S.
• Kathryn Beard, MS. PLMFT
• Trevor H Beckham, MD
• Mary Ellen Beegle, D.O.
• Chase Belnap

• General Practice Dentistry in Sedalia, MO
• Providers in Sedalia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.