Russell P. Beckett, D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007134 Issued in IN

Legal business name

RUSSELL P. BECKETT, D.D.S., INC.

Doing business as

Dr. Russell P. Beckett

Practice address

1520 Washington St
New Castle, IN 47362-4355

Phone

(765) 521-0390

Fax

(765) 529-3218

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell P. Beckett, D.D.S.NPI 1093832875

Title

President

Phone

(765) 521-0390

Specialties & licenses 1

Addresses

Other names 1

• Dr. Russell P. Beckett Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell P Beckett, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • New Castle, IN
  • NPI 1093832875
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174653620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-521-0390",
            "fax_number": "765-529-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624355",
            "telephone_number": "765-521-0390",
            "fax_number": "765-529-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL P. BECKETT, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-521-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Russell P. Beckett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikiesha Rollins
• Lindsey R Rolston, M.D
• Kathy Roman St Clair, LCAC
• Adam D. Rosenfeld, DO
• Jack A Rusch III, DDS
• Frank Matthew Ryan, M.D.
• Samantha Meeks Family Practice
• Amanda Sandoval, CRNA
• Peter William Schram, D.C.
• Lynn Ann Schwarzkopf, LCSW

• Oral and Maxillofacial Surgery (Dentist) in New Castle, IN
• Providers in New Castle, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.