Beckland Dental Kids of Farmington LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3385 Issued in NM

Legal business name

BECKLAND DENTAL KIDS OF FARMINGTON LLC

Practice address

3903 Beckland Dr
Farmington, NM 87402-4701

Phone

(505) 436-2735

Fax

(505) 436-2735

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Hodges

Title

Operations Director

Phone

(505) 787-2965

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1104377811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BECKLAND DR.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-436-2735",
            "fax_number": "505-436-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 BECKLAND DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024701",
            "telephone_number": "505-436-2735",
            "fax_number": "505-436-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLAND DENTAL KIDS OF FARMINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "505-787-2965"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2872",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99183064",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onshai Becenti
• C. Michael Beck
• Judy K Beck, MA, LPCC
• Shay Beck, MD
• Werner Henry Beckerhoff Jr., CRNA
• Alexandria Begay
• Audrianna Begay, CHW
• Bernice Begay, CNP
• Christina Meras Begay, CNP
• Erika Begay, CSW

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.