NPIMap

Organization Active NPI

Kimball & Beecher Berkshire

  • General Practice Dentistry
  • Clive, IA
National Provider Identifier
1598690810
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIMBALL & BEECHER BERKSHIRE
Practice address
2375 Berkshire Pkwy
Clive, IA 50325-4677
Phone
(515) 987-7670
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KIMBALL & BEECHER GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Sandy Marie Crock
Title
Controller
Phone
(319) 277-6921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2375 Berkshire Pkwy
Clive, IA 50325-4677

Mailing address

4015 Hurst Dr
Waterloo, IA 50701-9035
Phone (319) 235-6287

National Provider Directory

National Provider Directory
Tax ID family
Kimball Beecher Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2375 Berkshire Pkwy
Clive, IA 50325
Phone (515) 987-7670

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1598690810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HURST DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019035",
            "telephone_number": "319-235-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 BERKSHIRE PKWY",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254677",
            "telephone_number": "515-987-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL & BEECHER BERKSHIRE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBALL & BEECHER GROUP LLC",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "CROCK",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "319-277-6921"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.