Organization Active NPI

Carter Beckham DMD PLLC

  • General Practice Dentistry
  • North Bend, WA
National Provider Identifier
1083336457
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARTER BECKHAM DMD PLLC
Practice address
208 Main Ave S
North Bend, WA 98045-8258
Phone
(425) 888-6522
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Carter Beckham, DMDNPI 1245683994
Title
Dentist/Owner
Phone
(765) 413-1076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

208 Main Ave S
North Bend, WA 98045-8258

Mailing address

44114 SE 149TH PL
North Bend, WA 98045-8847
Phone (765) 413-1076

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1083336457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44114 SE 149TH PL",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458847",
            "telephone_number": "765-413-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458258",
            "telephone_number": "425-888-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER BECKHAM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "765-413-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.