Individual provider Active NPI

Christopher David Beckham, HADE4404

  • Hearing Instrument Specialist
  • Mesa, AZ
National Provider Identifier
1447813258
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE4404 Issued in AZ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
HADE4404AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heargen LLC Hearing Instrument Specialist CurrentSince Oct 4, 2020 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.

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.

Verify at the official NPI Registry.