Individual provider Active NPI

Jonathan Beker, DMD MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fishers, IN
National Provider Identifier
1407389802
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
12013964A Issued in IN
Practice address
10972 Allisonville Rd Ste 110
Fishers, IN 46038-2639
Phone
(317) 845-7878
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 12013964A IN Primary

Addresses

Primary practice location

10972 Allisonville Rd Ste 110
Fishers, IN 46038-2639

Mailing address

10972 Allisonville Rd Ste 110
Fishers, IN 46038-2639
Phone (317) 845-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002664 IN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 7416365473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Harvard School of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Oral and Maxillofacial Surgery Associates PCGroup PAC ID 9335157254, 11 clinicians

Practice addresses (Care Compare)

9240 N Meridian St
Suite 300
Indianapolis, IN 46260-1822
Phone (317) 846-7377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Oral & Maxillofacial Surgery Associates PC CurrentSince Jan 12, 2024 Accepting new patients

Locations

3021 E 98th St
Ste 250
Carmel, IN 46280
Phone (317) 846-3446

10972 Allisonville Rd
Ste 110
Fishers, IN 46038
Phone (317) 845-7878

8445 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 882-1284

9240 N Meridian St
Ste 300
Indianapolis, IN 46260
Phone (317) 815-1213

12036 N Michigan Rd
#200
Zionsville, IN 46077
Phone (317) 733-0926

Interoperability endpoints

  • Direct secure messaging: jbeker559000@ecommunitydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1407389802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382639",
            "telephone_number": "317-845-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382639",
            "telephone_number": "317-845-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKER",
        "first_name": "JONATHAN",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "12013964A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.