Michael Lawrence Beckley, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

50210 Issued in CA

Practice address

1133 E Stanley Blvd
Suite 215
Livermore, CA 94550-4200

Phone

(925) 294-4000

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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.

Opted out of Medicare

Yes, effective May 10, 2018 through May 10, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437231925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 EAST STANLEY BLVD.",
            "address_2": "SUITE 215",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-294-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 215",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-294-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "50210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Foot and Ankle Specialists, Inc
• Jeffrey David Bearden
• Kelsey Becerra
• James Wayne Becker, D.D.S.
• Kimberly Ann Becker, LCSW
• Brendan James Bedolla
• Jason Belk, PHARM.D.
• Olivia Belknap, AMFT
• Elizabeth Wynia Belvedere
• Patricia Marie Bennett, RN, IBCLC

• Oral and Maxillofacial Surgery (Dentist) in Livermore, CA
• Providers in Livermore, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.