Organization Active NPI

Carmen L Beckwith DDS PC

Doing business as Berthoud Family Dentistry

  • General Practice Dentistry
  • Berthoud, CO
National Provider Identifier
1558960351
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARMEN L BECKWITH DDS PC
Doing business as
Berthoud Family Dentistry
Practice address
408 10TH St
Berthoud, CO 80513-1380
Phone
(970) 532-4477
Fax
(970) 532-3377
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Carmen Beckwith, DDSNPI 1740350214
Title
President
Phone
(970) 532-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

408 10TH St
Berthoud, CO 80513-1380

Mailing address

408 10TH St
Berthoud, CO 80513-1380
Phone (970) 532-4477

Other names 1

  • Berthoud Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

408 10th St
Berthoud, CO 80513
Phone (970) 532-4477

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1558960351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 10TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131380",
            "telephone_number": "970-532-4477",
            "fax_number": "970-532-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 10TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131380",
            "telephone_number": "970-532-4477",
            "fax_number": "970-532-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN L BECKWITH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-532-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berthoud Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berthoud, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.