Individual provider Active NPI

Yvonne E. Beckford, D.D.S.

  • General Practice Dentistry
  • Tucker, GA
National Provider Identifier
1275660813
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10300 Issued in GA
Practice address
3983 Lavista Rd
Suite 181
Tucker, GA 30084-5153
Phone
(770) 939-9293
Fax
(770) 939-4716
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10300 GA Primary

Addresses

Primary practice location

3983 Lavista Rd
Suite 181
Tucker, GA 30084-5153

Mailing address

3983 Lavista Rd
Suite 181
Tucker, GA 30084-5153
Phone (770) 939-9293

Other identifiers 4

IdentifierTypeStateIssuer
590789OtherGAUNITED CONCORDIA
T1000748OtherGAWEBMD CORPORATON
100705OtherGAAVESIS
108547OtherGADORAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Atlanta, LLC CurrentSince Oct 19, 2022 Accepting new patients
Y. E Beckford DDS PC Past Accepting new patients

Locations

3983 Lavista Rd
Ste 181
Tucker, GA 30084
Phone (770) 939-9293

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275660813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "SUITE 181",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-939-9293",
            "fax_number": "770-939-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "SUITE 181",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-939-9293",
            "fax_number": "770-939-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD",
        "first_name": "YVONNE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "590789",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEBMD CORPORATON",
            "identifier": "T1000748",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100705",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "108547",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.