Active NPI
Christopher David Beckham, HADE4404
- Hearing Instrument Specialist
- Mesa, AZ
National Provider Identifier
1447813258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADE4404
- Practice address
- 7115 E Baseline Rd Ste 107
Mesa, AZ 85209-4039 - Phone
- (480) 725-6055
- NPI assigned
- Apr 17, 2019
- Last updated
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADE4404 | AZ | Primary |
Addresses
Primary practice location
7115 E Baseline Rd Ste 107
Mesa, AZ 85209-4039
Mailing address
2414 N Trenton
Mesa, AZ 85207-2527
Phone (602) 647-8476
Other practice location 1
13925 W Meeker Blvd Ste 19
Sun City West, AZ 85375-4432
Phone (623) 792-7151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADE4404 | AZ | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heargen LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| Hear Mart Acquisitions, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1447813258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 N TRENTON",
"city": "MESA",
"state": "AZ",
"postal_code": "852072527",
"telephone_number": "602-647-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 E BASELINE RD STE 107",
"city": "MESA",
"state": "AZ",
"postal_code": "852094039",
"telephone_number": "480-725-6055"
}
],
"practiceLocations": [
{
"address_1": "13925 W Meeker Blvd Ste 19",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853754432",
"country_code": "US",
"telephone_number": "623-792-7151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKHAM",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "HADE4404",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AZ",
"license": "HADE4404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.