Active NPI
Yvonne E. Beckford, D.D.S.
- General Practice Dentistry
- Tucker, GA
National Provider Identifier
1275660813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10300
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590789 | Other | GA | UNITED CONCORDIA |
| T1000748 | Other | GA | WEBMD CORPORATON |
| 100705 | Other | GA | AVESIS |
| 108547 | Other | GA | DORAL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Atlanta, LLC | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Tucker, GA
- NPI 1093410722
-
- Dentist
- Tucker, GA
- NPI 1467715250
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.