NPIMap

Organization Active NPI

Y. E Beckford DDS PC

  • Dentist
  • Tucker, GA
National Provider Identifier
1467715250
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10300 Issued in GA
Legal business name
Y. E BECKFORD DDS PC
Practice address
3983 Lavista Rd
#181
Tucker, GA 30084-5153
Phone
(770) 939-9293
NPI assigned
Jun 18, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Yvonne BeckfordNPI 1275660813
Title
Owner
Phone
(770) 939-9293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10300 GA Primary

Addresses

Primary practice location

3983 Lavista Rd
#181
Tucker, GA 30084-5153

Mailing address

3983 Lavista Rd
#181
Tucker, GA 30084-5153
Phone (770) 939-9293

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1467715250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "#181",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-939-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "#181",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-939-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. E BECKFORD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "BECKFORD",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-939-9293",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.