Active NPI
Julie Becker, DDS, PC
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
National Provider Identifier
1689642308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- JULIE BECKER, DDS, PC
- Practice address
- 3820 S Fremont Ave
Springfield, MO 65804-6503 - Phone
- (417) 882-0948
- Fax
- (417) 882-7548
- NPI assigned
- Mar 9, 2006
- Last updated
- Apr 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvina Tucker
- Title
- Office Manager
- Phone
- (417) 882-0948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
3820 S Fremont Ave
Springfield, MO 65804-6503
Mailing address
3820 S Fremont Ave
Springfield, MO 65804-6503
Phone (417) 882-0948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3820 S Fremont Ave
Springfield, MO 65804
Phone (417) 882-0948
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
- NPI 1124096912
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
- NPI 1861460263
-
- Oral and Maxillofacial Surgery (Dentist)
- Clarksville, TN
- NPI 1124222435
MO
-
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
- NPI 1043697543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649808000000",
"number": "1689642308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046503",
"telephone_number": "417-882-0948",
"fax_number": "417-882-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046503",
"telephone_number": "417-882-0948",
"fax_number": "417-882-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE BECKER, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "MELVINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "417-882-0948"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.