Kimball & Beecher Waterloo PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIMBALL & BEECHER WATERLOO PLLC

Practice address

4015 Hurst Drive
Waterloo, IA 50701

Phone

(319) 235-6287

Fax

(319) 235-6740

NPI assigned

Aug 11, 2006

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

KIMBALL AND BEECHER FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Tracy Wood

Title

Exec. Director

Phone

(319) 235-6287

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimball and Beecher Family Dentistry PLC Former legal business name

Tax ID family

Kimball Beecher Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Kimball & Beecher Berkshire

  • General Practice Dentistry
  • Clive, IA
  • NPI 1598690810
  NPD tax ID
• Kimball & Beecher Group LLC

  • General Practice Dentistry
  • Fairfield, IA
  • NPI 1114729050
  NPD tax ID
• Kimball & Beecher Group LLC

  dba Dentistry Unlimited

  • General Practice Dentistry
  • Bettendorf, IA
  • NPI 1366156820
  NPD tax ID
• Kimball & Beecher Group LLC

  dba Kimball and Beecher Bondurant

  • General Practice Dentistry
  • Bondurant, IA
  • NPI 1881481687
  NPD tax ID

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1851302178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HURST DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-235-6287",
            "fax_number": "319-235-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 HURST DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-235-6287",
            "fax_number": "319-235-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL & BEECHER WATERLOO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBALL AND BEECHER FAMILY DENTISTRY",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "319-235-6287"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851302178",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimball and Beecher Family Dentistry PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah Kathryn Cromer Kiani, LMHC
• April Kiefer, LISW
• Stephen M. Kieszkowski
• Andrew J Kilger, DO
• Kimball & Beecher Cedar Rapids, PLLC
• Eric Lee Kimball, D.D.S.
• Ankush Kimmatkar, M.D.
• Shaylee E Kimmel, MT-BC
• Edwin D King, DDS
• Kelsey Phylicia King, T-CADC, BA

• General Practice Dentistry in Waterloo, IA
• Providers in Waterloo, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.