CHARLES THEODORE BEARD (NPI# 1558338087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558338087 |
| Entity Type | Individual |
| Full Name | CHARLES THEODORE BEARD |
| Credential | DDS |
| Practice Address |
1456 Fulton St Bedford Stuyvesant Family Health Center Brooklyn NY 11216-2505 |
| Practice Telephone | 7186364500 |
| Practice Fax Number | 3472968363 |
| Mailing Telephone | 7186364500 |
| Mailing Fax Number | 3472968363 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
043006 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01485652 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659739 | Charles Lyman Beard IIi | Counselor | 2403 N Pebble Creek Pkwy, Goodyear, AZ 85395-9042 | 2019-09-23 |
| 1033201975 | Charles Beard | Dentist | 204 S Clay Ave, Kirkwood, MO 63122-4207 | 2006-09-29 |
| 1750499398 | Charles W. Beard | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2006-08-25 |
| 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 |
1456 FULTON ST BEDFORD STUYVESANT FAMILY HEALTH CENTER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845973 | Constadina Manettas | Student in an Organized Health Care Education/Training Program | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2020-09-10 |
| 1043751373 | Jahangir Akhtar | Dental Hygienist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2017-03-20 |
| 1437608791 | Priya Sikerwar | Social Worker | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2016-09-28 |
| 1306395058 | Bedford Stuyvesant Family Health Center | Dentist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2016-09-22 |
| 1750767570 | Emnet Berhanu | Dentist | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2015-08-04 |
| 1467831032 | Barak Sered | Family Medicine | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2015-05-28 |
| 1477970663 | Gina Cuneo-ramos | Nurse Practitioner | 1456 Fulton St, Bedford Stuyvesant Family Health Cente, Brooklyn, NY 11216-2505 | 2014-03-25 |
| 1972934503 | Kathleen Bernock | Registered Nurse | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2013-12-08 |
| 1497993984 | Shrinkhla Agrawal | Pediatrics | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2009-01-22 |
| 1134366578 | 1413 Rx Corp | Pharmacy | 1456 Fulton St, Brooklyn, NY 11216-2505 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
| 1871073171 | Jillian N Beam | Counselor | 763-765 Nostrand Ave, Ste#1, Brooklyn, NY 11216 | 2018-08-16 |
| 1598250086 | Hope Lakeisha Garvin | Social Worker | 763-765 Nostrand Ave, Brooklyn, NY 11216 | 2018-06-27 |
| 1982192233 | Katharine Ha | Social Worker | 278 Quincy St. #4, Brooklyn, NY 11216 | 2018-04-23 |
| 1205340254 | Bed Stuy Acupuncture and Massage Therapy Pllc | Acupuncturist | 1069 Bedford Ave Storefront, Brooklyn, NY 11216 | 2017-11-29 |
| 1619497104 | Aras Occupational Therapy Pllc | Occupational Therapist | 29 Macdonough St, 4g, Brooklyn, NY 11216 | 2017-06-26 |
| 1033648621 | Yaneth Lombana | Social Worker | 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 | 2017-06-07 |
| 1922495944 | James Leroy Barry Robinson Jr. | Social Worker | 3 Macdonough St Apt 4l, Brooklyn, NY 11216 | 2015-04-16 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| Find all providers in zip 11216 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| Find all providers in BROOKLYN | ||||
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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.