Gregory M Becker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2890 Issued in AZ

Practice address

13980 N 67TH Ave
#2
Glendale, AZ 85306-3715

Phone

(623) 979-9454

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gregory M Becker DDS LLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1710251913
  NPD (past) Authorized official
• Thunderbird Dental Trust

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1770628273
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1700052263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE",
            "address_2": "#2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE",
            "address_2": "#2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Allen Beaver, PH. D.
• Doris Bechter, C.D.E.
• Alicia Bechtol
• David H Beck, P.A.C.
• Bradley K Becker, D.O., P.C.
• Lia Violet Becktold, M.ED., BCBA
• Catherine Beckwith, OTR/L
• Amy Christine Bednarski, MA, LPC
• Phillip Bedonie
• Bedrock Midwifery & Wellness, LLC

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.