Dr. Mark B. Beard DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. MARK B. BEARD DDS, INC

Practice address

3115 Ashland Ave Ste 299
Saint Joseph, MO 64506-1520

Phone

(816) 232-9790

Fax

(816) 232-9814

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Kay Manthe

Title

Office Manager

Phone

(816) 232-9790

Specialties & licenses 1

Addresses

Tax ID family

Dr Mark B Beard DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dr. Mark B. Beard DDS, Inc

  • Dentist
  • Troy, KS
  • NPI 1942784418
  NPD tax ID

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1861976334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ASHLAND AVE STE 299",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061520",
            "telephone_number": "816-232-9790",
            "fax_number": "816-232-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ASHLAND AVE STE 299",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061520",
            "telephone_number": "816-232-9790",
            "fax_number": "816-232-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK B. BEARD DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "MANTHE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-232-9790"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.