Individual provider Active NPI

Harry Robert Becker, D.D.S.

  • Specialist
  • Rancho Cordova, CA
National Provider Identifier
1376685925
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D221340 Issued in CA
Practice address
1995 Zinfandel Dr
Suite 106
Rancho Cordova, CA 95670-2862
Phone
(916) 852-9122
Fax
(916) 852-1321
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

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
Specialist 174400000X D221340 CA Primary

Addresses

Primary practice location

1995 Zinfandel Dr
Suite 106
Rancho Cordova, CA 95670-2862

Mailing address

1995 Zinfandel Dr
Suite 106
Rancho Cordova, CA 95670-2862
Phone (916) 852-9122

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D221340CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376685925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "SUITE 106",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862",
            "telephone_number": "916-852-9122",
            "fax_number": "916-852-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "SUITE 106",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862",
            "telephone_number": "916-852-9122",
            "fax_number": "916-852-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "HARRY",
        "middle_name": "ROBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "D221340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.