OrganizationActive
Kokomo Pediatric Dentistry, LLC
NPI 1063904100 · Public Health Dentistry · Kokomo, IN
Kokomo Pediatric Dentistry, LLC is a Public Health Dentistry organization in Kokomo, IN (NPI 1063904100).
Provider details
- NPI number
- 1063904100
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Beadle, Owner/Dentist(317) 709-2318
- License
- 12010865A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2350 S Dixon Rd Ste 425
Kokomo, IN 46902-6422
Phone: (765) 453-6000
Street-level locationGet directions
Mailing address
1314 Regal Dr
Carmel, IN 46032-9489
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2018-06-05
Frequently asked questions
- What is Kokomo Pediatric Dentistry, LLC's NPI number?
- Kokomo Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1063904100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kokomo Pediatric Dentistry, LLC?
- Kokomo Pediatric Dentistry, LLC is classified in the NPPES registry as Public Health Dentistry (Dental Providers).
- Where is Kokomo Pediatric Dentistry, LLC located?
- Kokomo Pediatric Dentistry, LLC's practice location on file with NPPES is 2350 S Dixon Rd Ste 425, Kokomo, IN 46902-6422.
- What is Kokomo Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kokomo Pediatric Dentistry, LLC is (765) 453-6000.
- Who is the authorized official for Kokomo Pediatric Dentistry, LLC?
- The authorized official listed on Kokomo Pediatric Dentistry, LLC's NPPES record is Kevin Beadle, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kokomo Pediatric Dentistry, LLC's NPI active?
- Yes — Kokomo Pediatric Dentistry, LLC's NPI (1063904100) is active in the NPPES registry as of the last update on 2018-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.