Active NPI
Dewey Beard
- Driver
- Holly Springs, MS
National Provider Identifier
1619540556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 1279445
- Practice address
- 353 Oakwood CV
Holly Springs, MS 38635-1406 - Phone
- (662) 544-3353
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 1279445 | MS | Primary |
Addresses
Primary practice location
353 Oakwood CV
Holly Springs, MS 38635-1406
Mailing address
353 Oakwood CV
Holly Springs, MS 38635-1406
Phone (662) 544-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279445 | MS | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1619540556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 OAKWOOD CV",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386351406",
"telephone_number": "662-544-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 OAKWOOD CV",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386351406",
"telephone_number": "662-544-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "DEWEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MS",
"license": "1279445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.