Active NPI
Michael Robert Becker, DDS
- Dentist
- Concord, CA
National Provider Identifier
1609991637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24531
- Practice address
- 1494 Washington Blvd
#C
Concord, CA 94521-4053 - Phone
- (925) 672-0150
- Fax
- (925) 672-0554
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24531 | CA | Primary |
Addresses
Primary practice location
1494 Washington Blvd
#C
Concord, CA 94521-4053
Mailing address
1494 Washington Blvd
#C
Concord, CA 94521-4053
Phone (925) 672-0150
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachel E. Callaway, DMD, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Concord, CA
- NPI 1598452831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609991637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 WASHINGTON BLVD",
"address_2": "#C",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214053",
"telephone_number": "925-672-0150",
"fax_number": "925-672-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494 WASHINGTON BLVD",
"address_2": "#C",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214053",
"telephone_number": "925-672-0150",
"fax_number": "925-672-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "24531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- 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.