Organization Active NPI

Gregory M Becker DDS LLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1710251913
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2890 Issued in AZ
Legal business name
GREGORY M BECKER DDS LLC
Practice address
13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715
Phone
(623) 979-9454
Fax
(623) 979-9474
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Gregory M Becker, DDSNPI 1700052263
Title
Member
Phone
(623) 979-9454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2890 AZ Primary

Addresses

Primary practice location

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

Mailing address

13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715
Phone (623) 979-9454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1710251913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M BECKER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-979-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.