Active NPI
Odessa Jane Becker, R.D.H.
- Dental Hygienist
- Concord, NH
National Provider Identifier
1174919302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 03201
- Practice address
- 102 Pleasant St
Suite 3
Concord, NH 03301-3863 - Phone
- (603) 493-8033
- NPI assigned
- Apr 14, 2015
- Last updated
- Apr 14, 2015
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 03201 | NH | Primary |
Addresses
Primary practice location
102 Pleasant St
Suite 3
Concord, NH 03301-3863
Mailing address
29 Prescott St
Apt 16
Concord, NH 03301-6166
Phone (603) 493-8033
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 |
|---|---|---|---|
| 03201 | NH | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1174919302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 PRESCOTT ST",
"address_2": "APT 16",
"city": "CONCORD",
"state": "NH",
"postal_code": "033016166",
"telephone_number": "603-493-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PLEASANT ST",
"address_2": "SUITE 3",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013863",
"telephone_number": "603-493-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "ODESSA",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NH",
"license": "03201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.