Active NPI
Julie Becker, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
National Provider Identifier
1124096912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15408
- Practice address
- 3820 S Fremont Ave
Springfield, MO 65804-6503 - Phone
- (417) 882-0948
- Fax
- (417) 882-7548
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 15408 | MO | Primary |
Addresses
Primary practice location
3820 S Fremont Ave
Springfield, MO 65804-6503
Mailing address
3820 S Fremont Ave
Springfield, MO 65804-6503
Phone (417) 882-0948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408282507 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Univ of Missouri-Kansas City School of Dentistry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3820 S Fremont Ave
Springfield, MO 65804-6503
Phone (417) 882-0948
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15408 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie Becker, DDS, PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
3820 S Fremont Ave
Springfield, MO 65804
Phone (417) 882-0948
Interoperability endpoints
- julie.becker@cernerdirect.coxhealth.com
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
- NPI 1689642308
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1124096912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046503",
"telephone_number": "417-882-0948",
"fax_number": "417-882-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046503",
"telephone_number": "417-882-0948",
"fax_number": "417-882-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JULIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "15408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408282507",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.