Charles P Beckwell DDS, Family&Cosmetic Dental,PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014857 Issued in MI

Legal business name

CHARLES P BECKWELL DDS, FAMILY&COSMETIC DENTAL,PLC

Practice address

52835 Hayes Rd
Shelby TWP, MI 48315-2522

Phone

(586) 566-9519

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Charles Patrick Beckwell

Title

Owner

Phone

(586) 566-9519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1659689750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52835 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483152522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52835 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483152522",
            "telephone_number": "586-566-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P BECKWELL DDS, FAMILY&COSMETIC DENTAL,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "BECKWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-566-9519"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Shelby TWP, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.