John Michael Beckwith

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

NONE Issued in IL

Practice address

1508 W Anthony Dr
Champaign, IL 61821-1191

Phone

(217) 359-5800

Fax

(217) 398-8901

NPI assigned

Nov 8, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CCM Champaign County Mobility LL

  • Durable Medical Equipment & Medical Supplies
  • Champaign, IL
  • NPI 1912545310
  NPD (past) Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1386157618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W ANTHONY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618211191",
            "telephone_number": "217-359-5800",
            "fax_number": "217-398-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W ANTHONY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618211191",
            "telephone_number": "217-359-5800",
            "fax_number": "217-398-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "IL",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beautiful Smiles Mobile Dentistry, LLC
• Cristina L Becerra, RN
• John P Beck, M.D.
• Teresa E. Becker, M.A.,CCC-SLP
• Eric Beckley
• Becoming Wellness. PLLC
• Kelly Nicole Beisser, MSW
• Ashley Howard Beitel, PH.D.
• Joyce W Beitel, M.D.
• Marc Belanger, PHARMD

• Home Modifications Contractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Home Modifications Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.