Individual provider Active NPI

Jennifer Lynn Becker, DDS

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1588960470
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023027 Issued in OH
Practice address
3329 Broadview Rd
Cleveland, OH 44109-3315
Phone
(216) 398-8900
NPI assigned
Feb 10, 2011
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-023027 OH Primary

Addresses

Primary practice location

3329 Broadview Rd
Cleveland, OH 44109-3315

Mailing address

3329 Broadview Rd
Cleveland, OH 44109-3315
Phone (216) 398-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124002643 OH Order and Referring Only - DentistPractitioner - Dentist 2769782614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023027OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John a Hudec DDS Specialty Services Inc General Practice Past Accepting new patients
John a Hudec DDS Inc General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1588960470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-398-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-398-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.