Individual provider Active NPI

Lawrence E. Becker, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
National Provider Identifier
1235190430
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
042828 Issued in NY
Practice address
134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959
Phone
(516) 294-9696
Fax
(516) 294-3531
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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 042828 NY Primary

Addresses

Primary practice location

134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959

Mailing address

134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959
Phone (516) 294-9696

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1235190430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "3RD FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "3RD FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "LAWRENCE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.