DR DARRYLL L BEARD DMD LTD (NPI# 1033237318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033237318 |
| Entity Type | Organization |
| Organization Name | DR DARRYLL L BEARD DMD LTD |
| Other Organization Name | DRS BEARD & HOLMEN LTD |
| Practice Address |
208 Bradford Lane Waterloo IL 62298 |
| Practice Telephone | 6189397181 |
| Practice Fax Number | 6189394500 |
| Mailing Telephone | 6189397181 |
| Mailing Fax Number | 6189394500 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DARRYLL LEONARD BEARD (PRESIDENT) |
| Authorized Official Telephone | 6189397181 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Drs Beard & Holmen Ltd | Doing Business As Name - Organization |
| Street Address |
208 BRADFORD LANE |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265554067 | Darryll Leonard Beard | Dentist | 208 Bradford Lane, Waterloo, IL 62298 | 2007-04-04 |
| 1780702068 | Charles Richard Holmen | Dentist | 208 Bradford Lane, Waterloo, IL 62298 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| 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 |
|---|---|---|---|---|
| 1659753069 | Hannah Rose Leuschen | Dentist | 4015 Hurst Dr, Waterloo, IA 50701-9035 | 2015-06-22 |
| 1437571320 | Waterloo Family Dental | Dentist | 245 N. Monroe Street, Waterloo, WI 53594 | 2014-01-10 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1447400791 | Dr John F Blattner & Dr Dwight D Heberer PC | Dentist | 226 Westview Plaza Dr, Waterloo, IL 62298-1253 | 2008-09-23 |
| 1720236128 | Bradley W Mitchell | Dentist | 413 W 3rd St, Waterloo, IL 62298-1358 | 2008-08-28 |
| 1386808079 | Christopher Glenn Eastman | Dentist | 2765 Crossroads Blvd, Waterloo, IA 50702 | 2008-07-11 |
| 1043363757 | Martin E. Averill | Dentist | 2102 Kimball Ave, Waterloo, IA 50702-5037 | 2007-01-18 |
| 1487703286 | Larry G Payne | Dentist | 605 S Wayne St, Waterloo, IN 46793-9472 | 2007-01-09 |
| 1689730327 | John Vernon Jetty | Dentist | 86 Center St, Waterloo, NY 13165-1026 | 2006-12-28 |
| 1073672440 | Drs Anderson & Arena | Dentist | 245 N Monroe St, Waterloo, WI 53594 | 2006-12-08 |
| Find all providers in WATERLOO | ||||
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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.