Active NPI
Carter Beckham DMD PLLC
- General Practice Dentistry
- North Bend, WA
National Provider Identifier
1083336457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carter Beckham, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.