Active NPI
Erika Johnston Becker, DMD
- Dentist
- Mount Laurel, NJ
National Provider Identifier
1720265309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02288000
- Practice address
- 210 Ark Rd
Suite 215
Mount Laurel, NJ 08054-3188 - Phone
- (856) 722-0800
- NPI assigned
- Jan 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02288000 | NJ | Primary |
| Dentist | 122300000X | DS036376 | PA |
Addresses
Primary practice location
210 Ark Rd
Suite 215
Mount Laurel, NJ 08054-3188
Mailing address
210 Ark Rd
Suite 215
Mount Laurel, NJ 08054-3188
Phone (856) 722-0800
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 |
|---|---|---|---|
| 22DI02288000 | NJ | MD | Dentist |
| DS036376 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201305600000",
"number": "1720265309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ARK RD",
"address_2": "SUITE 215",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543188",
"telephone_number": "856-722-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ARK RD",
"address_2": "SUITE 215",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080543188",
"telephone_number": "856-722-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "ERIKA",
"middle_name": "JOHNSTON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-26",
"last_updated": "2008-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02288000",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036376",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.