Dpmbeckmannnror LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

DP00434 Issued in OR

Legal business name

DPMBECKMANNNROR LLC

Practice address

3760 Market St NE # 105
Salem, OR 97301-1826

Phone

(503) 990-7620

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Brooke Beckmann, DPM

Title

Owner

Phone

(503) 990-7620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1457660904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 MARKET ST NE # 105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011826",
            "telephone_number": "503-990-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 MARKET ST NE # 105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011826",
            "telephone_number": "503-990-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMBECKMANNNROR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "BECKMANN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-990-7620",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OR",
            "license": "DP00434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.