Organization Active NPI

Michele Rogers Beck D.M.D. P.S.C.

  • Dental Clinic/Center
  • Covington, KY
National Provider Identifier
1265718068
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7746 Issued in KY
Legal business name
MICHELE ROGERS BECK D.M.D. P.S.C.
Practice address
640 Scott St
Covington, KY 41011-2416
Phone
(859) 261-5852
Fax
(859) 261-5853
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Michele Rogers Beck, D.M.D.NPI 1649332503
Title
Dentist
Phone
(859) 261-5852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7746 KY Primary

Addresses

Primary practice location

640 Scott St
Covington, KY 41011-2416

Mailing address

640 Scott St
Covington, KY 41011-2416
Phone (859) 261-5852

Other identifiers 2

IdentifierTypeStateIssuer
1649332503OtherKYINDIVIDUAL NPI
60001815MedicaidKY

National Provider Directory

National Provider Directory

Locations

640 Scott St
Covington, KY 41011
Phone (859) 261-5852

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1265718068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112416",
            "telephone_number": "859-261-5852",
            "fax_number": "859-261-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112416",
            "telephone_number": "859-261-5852",
            "fax_number": "859-261-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE ROGERS BECK D.M.D. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-261-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "7746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649332503",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60001815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.