Leonard Douglas Beckham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3228 Issued in AL

Practice address

University of Alabama School of Dentistry
1919 7TH Avenue, South
Birmingham, AL 35233-5079

Phone

(205) 934-3000

NPI assigned

Jun 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Genesis Dental Group Homewood P.C.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1528577129
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1740286095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 IRIS DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445079",
            "telephone_number": "205-447-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY",
            "address_2": "1919 7TH AVENUE, SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352335079",
            "telephone_number": "205-934-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "LEONARD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009952140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Beckenstein, M.D.
• Callie Beckham-Vogeler, ACNP-AG
• April Q Beckham
• Catherine Elizabeth Beckham, PA
• Heath Beckham, MD
• Victoria Beckham, OTR/L
• Melanie Beckman
• Kathleen Martin Beckum, M.D.
• Alexander Becsey
• Maria Bedard, CRNA

• Dentist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.