Organization Active NPI

Richard Beck DMD PC

  • Dental Clinic/Center
  • Babylon, NY
National Provider Identifier
1730516600
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
040821 Issued in NY
Legal business name
RICHARD BECK DMD PC
Practice address
678 Deer Park Ave
Babylon, NY 11702-1306
Phone
(631) 661-0434
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Richard BeckNPI 1770651937
Title
President
Phone
(631) 661-0434

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
Dental Clinic/Center 261QD0000X 040821 NY Primary

Addresses

Primary practice location

678 Deer Park Ave
Babylon, NY 11702-1306

Mailing address

678 Deer Park Ave
Babylon, NY 11702-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131101001441 NY Part B Supplier - Clinic/Group Practice 8325273196 Receives reassigned benefits from 1 practitioner
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Locations

678 Deer Park Ave
Babylon, NY 11702
Phone (631) 587-5870

678 Deer Park Ave
Ste 3
Babylon, NY 11702
Phone (631) 661-0434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1730516600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021306",
            "telephone_number": "631-661-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BECK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-661-0434"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.

Verify at the official NPI Registry.