NPIMap

Organization Active NPI

Perry K. Beckstrom, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1003019555
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9622 Issued in TX
Legal business name
PERRY K. BECKSTROM, DO
Practice address
3946 S Buckner Blvd Ste 200
Dallas, TX 75227-4313
Phone
(214) 381-7194
Fax
(214) 381-7195
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Perryk Kent Beckstrom, DO
Title
Sole Proprietor
Phone
(214) 381-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L9622 TX Primary

Addresses

Primary practice location

3946 S Buckner Blvd Ste 200
Dallas, TX 75227-4313

Mailing address

3946 S Buckner Blvd Ste 200
Dallas, TX 75227-4313
Phone (214) 381-7194

National Provider Directory

National Provider Directory

Locations

3946 S Buckner Blvd
#200
Dallas, TX 75227
Phone (214) 381-7194

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1003019555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 S BUCKNER BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274313",
            "telephone_number": "214-381-7194",
            "fax_number": "214-381-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 S BUCKNER BLVD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274313",
            "telephone_number": "214-381-7194",
            "fax_number": "214-381-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY K. BECKSTROM, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BECKSTROM",
        "authorized_official_first_name": "PERRYK",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "214-381-7194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.