Jeffrey John Becker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62567 Issued in CA

Practice address

165 Saint Dominics Dr
Ste 100
Manteca, CA 95337-7802

Phone

(209) 823-3574

NPI assigned

Jul 17, 2013

Last updated

Apr 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John C. Trueb, DDS

  • Dentist
  • Manteca, CA
  • NPI 1881002442
  NPD (past)
• John C. Trueb, DDS, Inc.

  • Dental Clinic/Center
  • Manteca, CA
  • NPI 1053964072
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1265873384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SAINT DOMINICS DR",
            "address_2": "STE 100",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377802",
            "telephone_number": "209-823-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SAINT DOMINICS DR",
            "address_2": "STE 100",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377802",
            "telephone_number": "209-823-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jane Bauer, MD
• Gabriela Bautista Cornejo
• Edith Bautista
• Bbxcs LLC (Burgos Behavior Consulting Services)
• Athena Bechere, RD
• Stephanie Erin Behnam, NP
• Ciana Jean Special Belion
• Vincent Jamal Bell
• Janna Lynn Belletto, PA-C
• Adam Stone Bellinger

• General Practice Dentistry in Manteca, CA
• Providers in Manteca, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2017; 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.