Organization Active NPI

KBS Family Dental, Kerri Beedy-Storts DDS, LLC

  • Dental Clinic/Center
  • Fairborn, OH
National Provider Identifier
1689484438
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KBS FAMILY DENTAL, KERRI BEEDY-STORTS DDS, LLC
Practice address
1758 Commerce Center Blvd Ste B
Fairborn, OH 45324-6358
Phone
(937) 879-9906
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Kerri Beedy-Storts, DDSNPI 1942946801
Title
Dentist
Phone
(937) 207-4328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1758 Commerce Center Blvd Ste B
Fairborn, OH 45324-6358

Mailing address

2825 Broadview Dr
Springfield, OH 45505-3405
Phone (937) 207-4328

Other names 1

  • Kerri Beedy-Storts Doing business as

National Provider Directory

National Provider Directory

Locations

1758 Commerce Center Blvd
Ste B
Fairborn, OH 45324
Phone (937) 879-9906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1689484438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BROADVIEW DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455053405",
            "telephone_number": "937-207-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 COMMERCE CENTER BLVD STE B",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246358",
            "telephone_number": "937-879-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBS FAMILY DENTAL, KERRI BEEDY-STORTS DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BEEDY-STORTS",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "937-207-4328",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerri Beedy-Storts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kerri Beedy-Storts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.