Active NPI
Joel B. Beck, M.D.
- Specialist
- Charlotte, NC
National Provider Identifier
1366569584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A65079
- Practice address
- 11210 Golf Links Dr N, Ste 100
Charlotte, NC 28277 - Phone
- (704) 800-4642
- Fax
- (704) 800-4882
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A65079 | CA | Primary |
Addresses
Primary practice location
11210 Golf Links Dr N, Ste 100
Charlotte, NC 28277
Mailing address
11210 Golf Links Dr N, Ste 100
Charlotte, NC 28277
Phone (704) 800-4642
Other practice location 1
11210 Golf Links Dr N Ste 105
Charlotte, NC 28277
Phone (704) 800-4642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65079 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Surgery Center, PA | Current | Accepting new patients |
Locations
11210 Golf Links Dr N
Ste 105
Charlotte, NC 28277
Phone (704) 800-4642
Organizations & group practices 1
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.
-
- Surgery Physician
- Charlotte, NC
- NPI 1790538817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1366569584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11210 GOLF LINKS DR N, STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-800-4642",
"fax_number": "704-800-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11210 GOLF LINKS DR N, STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-800-4642",
"fax_number": "704-800-4882"
}
],
"practiceLocations": [
{
"address_1": "11210 Golf Links Dr N Ste 105",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28277",
"country_code": "US",
"telephone_number": "704-800-4642",
"fax_number": "704-800-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECK",
"first_name": "JOEL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2024-04-09",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A65079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.