Nathan Luteru Beck, DDS
Individual provider Active NPI General Practice Dentistry · Bishop, CA
NPI 1306364112 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1306364112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 64618 (CA)
- Practice address
- 625 Keough St
Bishop, CA 93514-2533 - Phone
- (760) 258-7524
- NPI assigned
- Aug 31, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010001709 | CA | Order and Referring Only - Dentist |
5395010805 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64618 | CA | Yes |
Addresses
Primary practice location
625 Keough St
Bishop, CA 93514-2533
Mailing address
625 Keough St
Bishop, CA 93514-2533
Phone (760) 258-7524
Other providers in Bishop, CA
- Deborah Barbieri
- Annette D Barnes
- Patricia Barton
- Shannon J Beasley
- Dustlyne Beavers
- Frank Beglin
- Robert R. Behrendt III
- Valerie Behrendt
- Travis J. Bergmans
- Hailey Morgan Bertanzetti
All providers in Bishop, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.