Jacqueline M. Beard, DMD, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30.023827 Issued in OH

Legal business name

JACQUELINE M. BEARD, DMD, INC

Practice address

34501 Aurora Rd
Suite 305
Solon, OH 44139-3873

Phone

(440) 528-1399

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By 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. Jacqueline M. Beard, DMD

Title

Pediatric Dentist/President

Phone

(440) 223-8767

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Solon Pediatric Dentistry Other name

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1619321734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35401 AURORA ROAD",
            "address_2": "SUITE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393808",
            "telephone_number": "440-528-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD",
            "address_2": "SUITE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393873",
            "telephone_number": "440-528-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M. BEARD, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "440-223-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.023827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063700789",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solon Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hadas Jacobson, PA-C
• Bridget Jafar, LPN
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• JK Cares LLC

• Dental Clinic/Center in Solon, OH
• Providers in Solon, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.