Rodney Joel Beckett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15062 Issued in OH

Practice address

324 Vernonview Drive
Mount Vernon, OH 43050

Phone

(740) 397-5353

Fax

(740) 397-9165

NPI assigned

Mar 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356461701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 VERNONVIEW DRIVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-397-5353",
            "fax_number": "740-397-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 VERNONVIEW DRIVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-397-5353",
            "fax_number": "740-397-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "RODNEY",
        "middle_name": "JOEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "782971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayla Jean Baxter, COTA/L
• Allan Scott Bazzoli, MD
• BD Mount Vernon Opco, LLC
• BD Mount Vernon Opco, LLC (Brookdale Mount Vernon)
• Heidi Beavers, LSW
• Johnathan Beheler
• Lane Keyes Belangia, PTA
• Ryan Bell
• Christina Benefiel, LSW
• Diane Bennett

• General Practice Dentistry in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.