Active NPI
Robert Arnold Beckner II, LD
- Denturist
- Warrenton, OR
National Provider Identifier
1659793552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO 10157767
- Practice address
- 327 SE Marlin Ave
Warrenton, OR 97146-9624 - Phone
- (503) 836-7711
- NPI assigned
- Jan 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO 10157767 | OR | Primary |
| Denturist | 122400000X | DN 60404066 | WA |
Addresses
Primary practice location
327 SE Marlin Ave
Warrenton, OR 97146-9624
Mailing address
327 SE Marlin Ave
Warrenton, OR 97146-9624
Phone (503) 836-7711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO 10157767 | OR | MD | Denturist |
| DN 60404066 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1659793552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 SE MARLIN AVE",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469624",
"telephone_number": "503-836-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 SE MARLIN AVE",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469624",
"telephone_number": "503-836-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKNER",
"first_name": "ROBERT",
"middle_name": "ARNOLD",
"name_suffix": "II",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO 10157767",
"primary": true
},
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN 60404066",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.