Katherine Becerra

Primary specialty

DentistTaxonomy code 122300000X

License

065699 Issued in NY

Practice address

419 Robinson Ave
Newburgh, NY 12550-3337

Phone

(845) 569-8900

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1417701459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 GRAND AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501928",
            "telephone_number": "845-549-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ROBINSON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503337",
            "telephone_number": "845-569-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 N Main St",
            "address_purpose": "LOCATION",
            "city": "New Square",
            "state": "NY",
            "postal_code": "109778916",
            "country_code": "US",
            "telephone_number": "845-354-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "065699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Tamaine Bassier
• Betzalee Bastidas, CPT
• Frank Anthony Bastone III, ATS
• Lenndy Batista
• Tamara Lynn Batko, RN
• Christina L Beck, RN
• Audrey Beecher, PTA
• Uticia Maranda Belfield, M.D.
• Uriece Bell
• Kimberly Bello, PMH-NP

• Dentist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.