Active NPI
Andrea R Beckford, DDS
- Dentist
- Berrien Springs, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013410A
- Practice address
- 9045 US Highway 31
Berrien Springs, MI 49103-1804 - Phone
- (989) 533-1888
- Fax
- (269) 471-9232
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1023 | GU | |
| Dentist | 122300000X | 2901022137 | MI | |
| Dentist | 122300000X | 12013410A | IN | Primary |
Addresses
Primary practice location
9045 US Highway 31
Berrien Springs, MI 49103-1804
Mailing address
9045 US Highway 31 Ste 1
Berrien Springs, MI 49103-1804
Phone (269) 471-5244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023 | GU | MD | Dentist |
| 12013410A | IN | MD | Dentist |
| 2901022137 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea R Beckford DDS Mba PLLC | Current | Accepting new patients | |
| Mishawaka Sleep Inc | Dentist | Current | Accepting new patients |
| Richard L. Beckermeyer, D. D. S., P.C. | Past | Accepting new patients | |
| Periza Zaninovic DDS PC | Past | Accepting new patients |
Locations
11825 State Route 40
Dunlap, IL 61525
Phone (309) 243-1541
11825 State Route 40
Ste 100
Dunlap, IL 61525
Phone (309) 243-8980
230 E Day Rd
Ste 150
Mishawaka, IN 46545
Phone (574) 231-6190
9045 US Highway 31
Ste 1
Berrien Springs, MI 49103
9045 US Highway 31
Berrien Springs, MI 49103
Phone (269) 473-2222
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Mishawaka, IN
- NPI 1053936484
-
- Dental Clinic/Center
- Berrien Springs, MI
- NPI 1962169250
-
- General Practice Dentistry
- Niles, MI
- NPI 1003565086
-
- Dental Clinic/Center
- Niles, MI
- NPI 1619191178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1043316557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 US HIGHWAY 31 STE 1",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031804",
"telephone_number": "269-471-5244",
"fax_number": "269-471-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 US HIGHWAY 31",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031804",
"telephone_number": "989-533-1888",
"fax_number": "269-471-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKFORD",
"first_name": "ANDREA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GU",
"license": "1023",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022137",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013410A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.