Active NPI
Paul Daniel Becker, DDS, MPH
- General Practice Dentistry
- Saratoga Springs, NY
National Provider Identifier
1144543554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6876
- Practice address
- 1 West Ave Ste 230
Saratoga Springs, NY 12866-6050 - Phone
- (518) 526-1743
- NPI assigned
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6876 | MD | |
| Public Health Dentistry | 1223D0001X | 6876 | MD | |
| General Practice Dentistry | 1223G0001X | 6876 | MD | Primary |
Addresses
Primary practice location
1 West Ave Ste 230
Saratoga Springs, NY 12866-6050
Mailing address
1 West Ave Ste 230
Saratoga Springs, NY 12866-6050
Phone (518) 526-1743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144543554 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.d.becker5.civ@mail.mil |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6876 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1144543554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEST AVE STE 230",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666050",
"telephone_number": "518-526-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WEST AVE STE 230",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666050",
"telephone_number": "518-526-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "PAUL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "6876",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MD",
"license": "6876",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "6876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144543554",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.d.becker5.civ@mail.mil",
"affiliation": "N",
"address_1": "1 West Ave Ste 230",
"city": "Saratoga Springs",
"state": "NY",
"country_code": "US",
"postal_code": "128666050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.