Wendy F. Becker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8557 Issued in CT

Practice address

850 No Main Street Extension
Suite 2B
Wallingford, CT 06492

Phone

(203) 269-4249

Fax

(203) 294-4444

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan D Schupack DDS LLC

  • General Practice Dentistry
  • Wallingford, CT
  • NPI 1356492185
  NPD (past)
• Schupack Family Dentistry PLLC

  • General Practice Dentistry
  • Wallingford, CT
  • NPI 1295685303
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396897294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NO MAIN STREET EXTENSION",
            "address_2": "SUITE 2B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-269-4249",
            "fax_number": "203-294-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NO MAIN STREET EXTENSION",
            "address_2": "SUITE 2B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-269-4249",
            "fax_number": "203-294-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "WENDY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Baum, MD
• Carolyn S. Beale, COTA/L
• Gary Beard, MA, PT
• Beautiful Life Adult Day Care LLC
• Beautiful Life Adult Home Care Services LLC
• Paul Robert Beckert, L.O.
• Behavioral Health Consulting, LLC
• Allison J Beitel, MD
• Bryan Benitez, PHD
• Ralph Benjamin

• General Practice Dentistry in Wallingford, CT
• Providers in Wallingford, CT by specialty
• General Practice Dentistry in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.