DR. CHARLES BEARD (NPI# 1033201975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033201975 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BEARD |
| Credential | D.D.S.,MS. |
| Practice Address |
204 S Clay Ave Kirkwood MO 63122-4207 |
| Practice Telephone | 3149653555 |
| Practice Fax Number | 3147257235 |
| Mailing Telephone | 3149653555 |
| Mailing Fax Number | 3147257235 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
011135 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659739 | Charles Lyman Beard IIi | Counselor | 2403 N Pebble Creek Pkwy, Goodyear, AZ 85395-9042 | 2019-09-23 |
| 1750499398 | Charles W. Beard | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2006-08-25 |
| 1558338087 | Charles Theodore Beard | Dentist | 1456 Fulton St, Bedford Stuyvesant Family Health Center, Brooklyn, NY 11216-2505 | 2006-03-03 |
| 1033102637 | Charles Allen Beard | Internal Medicine | 25 Norris St, Eureka Springs, AR 72632-3508 | 2005-08-30 |
| 1033423702 | Charles Daniel Beard | Massage Therapist | 101 Whitehall Dr, Ste 102, Saint Augustine, FL 32086-5268 | 2010-08-04 |
| 1669690392 | Charles F Beard | Pharmacist | 16777 Medical Center Dr, Suite 400, Baton Rouge, LA 70816-3254 | 2007-04-20 |
| 1871621995 | Charles Clifford Beard | Dentist | 625 E Liberty St, Suite 205, Ann Arbor, MI 48104-2013 | 2007-03-01 |
| Street Address |
204 S CLAY AVE |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194875666 | Jerome Shatoff | Dentist | 204 S Clay Ave, Kirkwood, MO 63122 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989061 | Pedaitric Dental and Orthodontic Associates of St Louis | Dentist | 430 S Clay Ave, Kirkwood, MO 63122-5808 | 2011-01-19 |
| 1588613947 | John Paul Sahrmann | Dentist | 209 S Kirkwood Rd, Kirkwood, MO 63122-4305 | 2006-05-10 |
| 1184039323 | Jaclyn M. Scroggins, Dmd, Ms, LLC | Dentist | 209 S Kirkwood Rd, Kirkwood, MO 63122-4305 | 2014-06-26 |
| 1457378812 | Toni Annette Goins-crank | Dentist | 439 S Kirkwood Rd, Ste. 205, Kirkwood, MO 63122-6169 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.