Individual provider Active NPI

William John Becker

  • Dentist
  • Hoffman Estates, IL
National Provider Identifier
1518172576
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-12876 Issued in IL
Practice address
2630 New Sutton Rd
Hoffman Estates, IL 60192
Phone
(847) 884-8484
Fax
(847) 884-8486
NPI assigned
May 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-12876 IL Primary

Addresses

Primary practice location

2630 New Sutton Rd
Hoffman Estates, IL 60192

Mailing address

702 E Waverly Dr
Arlington HTS, IL 60004-2639
Phone (847) 394-8961

Other practice location 1

1000 Grand Canyon Pkwy
Suite 201
Hoffman Estates, IL 60194-1705
Phone (847) 884-8484

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
019-12876ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1518172576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E WAVERLY DR",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600042639",
            "telephone_number": "847-394-8961",
            "fax_number": "847-394-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 NEW SUTTON RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60192",
            "telephone_number": "847-884-8484",
            "fax_number": "847-884-8486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Grand Canyon Pkwy",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601941705",
            "country_code": "US",
            "telephone_number": "847-884-8484",
            "fax_number": "847-884-8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-12876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.