Charles Clifford Beard, D.D.S.,M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012234 Issued in MI

Practice address

625 E Liberty St
Suite 205
Ann Arbor, MI 48104-2013

Phone

(734) 668-6617

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Charles Clifford Beard Professional name

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Master of Science

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871621995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 WHISPERING PINES DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769042",
            "telephone_number": "734-429-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E LIBERTY ST",
            "address_2": "SUITE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042013",
            "telephone_number": "734-668-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CHARLES",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BEARD",
            "middle_name": "CLIFFORD",
            "prefix": "DR.",
            "credential": "D.D.S.,M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynn Elizabeth Beals, D.O.
• Brent Beam, PH.D.
• Jeffrey Alan Beamish, M.D., PH.D.
• Amanda N Bean
• Daniel Timothy Bean
• Kristine Lauren Beard, DO
• Candice Marie Beardslee, PA-C
• Hannah Alexandra Bearham, MD
• Anthany Jaysen Beasley, MSW
• Domonique Beasley

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.