Kelsey Nicole Bealmear, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027690 Issued in OH

Practice address

4333 Monroe St Ste B
Toledo, OH 43606-1937

Phone

(419) 475-0482

NPI assigned

Apr 18, 2023

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629765912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 N HOLLAND SYLVANIA RD APT 4321",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233557",
            "telephone_number": "240-439-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 MONROE ST STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061937",
            "telephone_number": "419-475-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALMEAR",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Eugene Beach, ATC
• Leeann Beach, MA, LPCC
• Patricia Lynn Beach, MSN
• Beacon of Light, LTD
• Rena R Beal, RN, MSN, CFNP
• Heather Beam, M.ED., BCBA
• Kellie M. Beam, MSW
• Lena Beaman
• Danielle Beamer
• Sierra Bean, LPN

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.