Russell P Beckett, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007134 Issued in IN

Practice address

1520 Washington St
New Castle, IN 47362-4355

Phone

(765) 521-0390

Fax

(765) 529-3218

NPI assigned

Mar 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell P. Beckett, D.D.S., Inc.

  dba Dr. Russell P. Beckett

  • Oral and Maxillofacial Surgery (Dentist)
  • New Castle, IN
  • NPI 1174653620
  NPD (past) Authorized official
• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093832875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-521-0390",
            "fax_number": "765-529-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-521-0390",
            "fax_number": "765-529-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "RUSSELL",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Barr, M.D.
• Matthew S. Barrett, M.D.
• Erica Rachelle Baumgartner
• Amanda B Bazan, FNP
• Jessica Yvonne Beaudry, PTA
• Adrienne Bedford, MD
• Dawn Beebe
• Michael George Benac, DDS
• Kacey Bennett, LAT, ATC
• Bruce W. Benninger, M.D.

• Oral and Maxillofacial Surgery (Dentist) in New Castle, IN
• Providers in New Castle, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.