Willem M Becker, DVM – Veterinarian in Midvale, UT

Key facts

NPI: 1730520164
Entity type: Individual (NPI type 1)
Primary specialty: Veterinarian 174M00000X
License: 8661295-2801 (UT)
Practice address: 308 W 7200 S
Midvale, UT 84047-1041
Phone: (801) 871-0600
Fax: (801) 566-1155
NPI assigned: Jul 15, 2013
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
8661295-2801	UT	MD	Veterinarian

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Veterinarian	174M00000X	8661295-2801	UT	Yes

Addresses

Primary practice location

308 W 7200 S
Midvale, UT 84047-1041

Mailing address

308 W 7200 S
Midvale, UT 84047-1041
Phone (801) 871-0600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2013.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1730520164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471041",
            "telephone_number": "801-871-0600",
            "fax_number": "801-566-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471041",
            "telephone_number": "801-871-0600",
            "fax_number": "801-566-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "WILLEM",
        "middle_name": "M",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "8661295-2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

All providers in Midvale, UT · Veterinarian in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.