Michael Damian Becker, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

8569 Issued in KY

Practice address

119 Topfield Rd
Louisville, KY 40229-4462

Phone

(502) 957-4408

NPI assigned

Feb 6, 2006

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1023080710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 SARATOGA CLUB RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994374",
            "telephone_number": "502-648-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TOPFIELD RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402294462",
            "telephone_number": "502-957-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MICHAEL",
        "middle_name": "DAMIAN",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411263",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sarah Becker, DO
• George Becker, CRNA
• Jonathan A Becker, MD
• Mary B Becker, APRN
• Michael D. Becker, MD
• Ashley Marie Beckett, MSN, CRNP, CPNP-AC
• Alyssa Beckham, RBT
• Brian Beckham, LCADC
• Christina B Beckham, DMD
• Elizabeth Beckham

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.