Jay P Beard, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4987 Issued in KY

Practice address

401 Hoffman Dr Ste C
Henderson, KY 42420-3390

Phone

(270) 827-1263

NPI assigned

Jan 26, 2007

Last updated

Sep 29, 2015By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1619023280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424190277",
            "telephone_number": "270-827-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOFFMAN DR STE C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203390",
            "telephone_number": "270-827-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "JAY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60049871",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barrys Pharmacy (Barrys Mobility)
• Barrys Pharmacy Inc
• Bassam Yousef, MD PSC
• Amy Bassett, LCSW
• Katelyn Bean
• Kristopher J Beickman, M.D.
• Brooke Bennett
• Harvey J Bennett, RPH
• Ann Marie Bercaw, PHARM D
• Sarah M Bickett, PA-C

• General Practice Dentistry in Henderson, KY
• Providers in Henderson, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.