Kimberly Beard, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12010043A Issued in IN

Practice address

2362 W Boulevard
Suite a
Kokomo, IN 46902-6080

Phone

(765) 452-0530

Fax

(765) 452-0573

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Professionals of Indiana, P.C.

  dba Dixon Park Dental Care

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1013139542
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972626513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 W BOULEVARD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026080",
            "telephone_number": "765-452-0530",
            "fax_number": "765-452-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 W BOULEVARD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026080",
            "telephone_number": "765-452-0530",
            "fax_number": "765-452-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010043A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Rae Baucom
• Shawna Leigh Baugh
• Aaron Bayani, PTA
• Loreto T Bayani, PT
• Alexis Beachy
• Melissa Beard
• Mikayla C Beard, BA, RBT
• Dorian Leenard Beasley, M.D.
• Amber Beatty
• Elleree Ashlynne Joyce Beatty, RBT

• Dentist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dentist in Indiana

• 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.