Active NPI
Ricky C. Becker, M.D.
- Plastic and Reconstructive Surgery Physician
- Bismarck, ND
National Provider Identifier
1477655660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 6735
- Practice address
- 300 N 7TH St
Bismarck, ND 58501-4439 - Phone
- (701) 323-6000
- Fax
- (701) 323-5918
- NPI assigned
- Sep 1, 2006
- Last updated
- Dec 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 6735 | ND | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 6735 | ND | Primary |
Addresses
Primary practice location
300 N 7TH St
Bismarck, ND 58501-4439
Mailing address
1500 Interchange Ave
Ste 100
Bismarck, ND 58501-2079
Phone (701) 530-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1462620 | Medicaid | ND |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6735 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becker Plastic Surgery Center | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | 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.
-
- Ambulatory Surgical Clinic/Center
- Bismarck, ND
- NPI 1205082948
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1477655660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 INTERCHANGE AVE",
"address_2": "STE 100",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585012079",
"telephone_number": "701-530-3333",
"fax_number": "701-530-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014439",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "RICKY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "ND",
"license": "6735",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "ND",
"license": "6735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1462620",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.