Jonathan Avery Beck, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD3675 Issued in NM

Practice address

114 W 11TH Street
Silver City, NM 88061-5136

Phone

(575) 388-1511

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By 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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1104189893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 11TH STREET",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615136",
            "telephone_number": "575-388-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JONATHAN",
        "middle_name": "AVERY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen H Barnes, LPCC, LSAA
• Patricia Anne Barsch, PH.D.
• Marianne Bartlett, MA
• Melisa Bassetti
• Cynthia Kaye Bates, PNP-PC
• John O Bell, MD
• Teresa A Beltran, LSAA
• Connie Bench
• Ruth Sherman Bennett, DO
• Joshua Lawrence Benson, PA-C

• Dentist in Silver City, NM
• Providers in Silver City, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.

Verify at the official NPI Registry.