Mark William Becker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.020528 Issued in OH

Practice address

6920 Spring Valley Dr
Suite 103
Holland, OH 43528-9675

Phone

(419) 866-1238

Fax

(419) 866-1907

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark WM. Becker, DDS, Inc.

  • General Practice Dentistry
  • Holland, OH
  • NPI 1013063403
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528114907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 SPRING VALLEY DR",
            "address_2": "SUITE 103",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289675",
            "telephone_number": "419-866-1238",
            "fax_number": "419-866-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 SPRING VALLEY DR",
            "address_2": "SUITE 103",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289675",
            "telephone_number": "419-866-1238",
            "fax_number": "419-866-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.020528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Barrett
• Min-Dee Bartel, MSN, APRN, PMHNP-BC
• Kelsey Ann Bartolet
• Taylor Bates
• Beautifully Scarred,LLC
• Ariana Jean Behm, CDCAP
• Amanda Marie Bell, CDCA
• Shawnia Marie Bennett, R.N.
• Christina M Benson, OTR/L OTD
• Melissa Bergman, FNP-C

• General Practice Dentistry in Holland, OH
• Providers in Holland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.