Individual provider Active NPI

Christopher Barrett Beck, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Huron, MI
National Provider Identifier
1104956226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901017880 Issued in MI
Practice address
1903 10TH Ave
Port Huron, MI 48060-3105
Phone
(810) 985-3200
Fax
(810) 985-3752
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901017880 MI Primary

Addresses

Primary practice location

1903 10TH Ave
Port Huron, MI 48060-3105

Mailing address

1903 10TH Ave
Port Huron, MI 48060-3105
Phone (810) 985-3200

Other identifiers 1

IdentifierTypeStateIssuer
0G41022OtherMIBCBS MEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000975 MI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8820051386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence H Beck DDS PCGroup PAC ID 3173592607, 3 clinicians

Practice addresses (Care Compare)

1903 10TH Ave
Port Huron, MI 48060-3105
Phone (810) 985-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cbeck1116867@direct.hfhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104956226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603105",
            "telephone_number": "810-985-3200",
            "fax_number": "810-985-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603105",
            "telephone_number": "810-985-3200",
            "fax_number": "810-985-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "CHRISTOPHER",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAL",
            "identifier": "0G41022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.