AVERY BROOKE BEARD (NPI# 1043871445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043871445 |
| Entity Type | Individual |
| Full Name | AVERY BROOKE BEARD |
| Credential | DMD |
| Practice Address |
13121 E 21st St N Ste 107 Wichita KS 67230-7403 |
| Practice Telephone | 3166309500 |
| Mailing Telephone | 3166309500 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 62661 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DENTAL LICENSE | 62661 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457603680 | Avery Jay Beard | Psychologist | 150 E Ponce De Leon Ave, Suite 255, Decatur, GA 30030-2543 | 2012-10-11 |
| Street Address |
13121 E 21ST ST N STE 107 |
| City | WICHITA |
| State | KS |
| Zip Code | 67230-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043468051 | Charles W Grauel | Anesthesiology | 14821 Sharon Lane, Wichita, KS 67230 | 2008-09-03 |
| 1205933686 | Gregory S. Linhardt | Anesthesiology | 1701 Rocky Glen, Wichita, KS 67230 | 2006-09-20 |
| 1437127123 | David Rosen | Specialist | 24 Sandpiper Ct., Wichita, KS 67230 | 2006-03-09 |
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1588101232 | True Home Care | In Home Supportive Care | 12828 E 13th St N, Wichita, KS 67230-1465 | 2017-01-19 |
| 1407237084 | Trey Anderson | Dentist | 700 N Preston Trl, Wichita, KS 67230-1505 | 2015-06-09 |
| 1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
| 1477799260 | The Wound Nurse, LLC | Durable Medical Equipment & Medical Supplies | 716 N Saint Andrews St, Wichita, KS 67230-1531 | 2008-12-28 |
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1033325626 | Laurie Hughey | Speech-Language Pathologist | 3 E Stonebridge Cir, Wichita, KS 67230-1560 | 2007-05-14 |
| Find all providers in zip 67230 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| 1851937650 | Precision Dental West, LLC | Dentist | 3900 W Central Ave Ste 100, Wichita, KS 67203-4928 | 2019-11-27 |
| 1629622352 | Mason and Mason Dentistry, Pa | Dentist | 201 S Towne East Mall Dr Ste 101, Wichita, KS 67207-1068 | 2019-07-31 |
| 1912565011 | Cara Lee Detmer | Dentist | 8404 W 13th St N Ste 200, Wichita, KS 67212-2978 | 2019-06-03 |
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1972000420 | Newmarket Smiles Dentistry | Dentist | 10240 W 29th St N Ste 102, Wichita, KS 67205-7914 | 2018-04-11 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| Find all providers in WICHITA | ||||
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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.