Michael Lawrence Beckley, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Livermore, CA
NPI 1437231925 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437231925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 50210 (CA)
- Practice address
- 1133 E Stanley Blvd
Suite 215
Livermore, CA 94550-4200 - Phone
- (925) 294-4000
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective May 10, 2018 through May 10, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 50210 | CA | Yes |
Addresses
Primary practice location
1133 E Stanley Blvd
Suite 215
Livermore, CA 94550-4200
Mailing address
1133 East Stanley Blvd.
Suite 215
Livermore, CA 94550
Phone (925) 294-4000
Other providers in Livermore, CA
- Bay Area Foot and Ankle Specialists, Inc
- Jeffrey David Bearden
- Kelsey Becerra
- James Wayne Becker
- Kimberly Ann Becker
- Brendan James Bedolla
- Jason Belk
- Olivia Belknap
- Elizabeth Wynia Belvedere
- Patricia Marie Bennett
All providers in Livermore, CA · Oral and Maxillofacial Surgery (Dentist) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.