Ken a Beckerman DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEN A BECKERMAN DDS LLC

Practice address

109 W Broadway St
Princeton, IN 47670-1501

Phone

(812) 385-2750

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Ken A Beckerman, DDS

Title

Owner

Phone

(812) 385-2750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1679932685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LOGAN AVE",
            "city": "HAZLETON",
            "state": "IN",
            "postal_code": "476408820",
            "telephone_number": "812-385-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701501",
            "telephone_number": "812-385-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN A BECKERMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "BECKERMAN",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-385-2750",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Lawlor, DDS, PC
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• Thomas Joseph, M.D.
• Craig Karpilow, MD
• Natalie Marie Keil, COTA/L
• Michael Kermode, RPH
• Maci Kissel
• Katherine M Klump, PT
• Sarah A Koehler, AGPNP
• Jillian Koester, OTR

• Dentist in Princeton, IN
• Providers in Princeton, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.