Active NPI
Nathan Becker
- Dentist
- Denver, CO
National Provider Identifier
1750763074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203148
- Practice address
- 1046 N Washington St
Denver, CO 80203-5242 - Phone
- (720) 767-2851
- NPI assigned
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8663 | SC | |
| Dentist | 122300000X | 12012308A | IN | |
| Dentist | 122300000X | 00203148 | CO | Primary |
Addresses
Primary practice location
1046 N Washington St
Denver, CO 80203-5242
Mailing address
1046 N Washington St
Denver, CO 80203-5242
Phone (720) 767-2851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX8663 | Medicaid | CO |
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 |
|---|---|---|---|
| 00203148 | CO | MD | Dentist |
| 12012308A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1750763074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 N WASHINGTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802035242",
"telephone_number": "720-767-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 N WASHINGTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802035242",
"telephone_number": "720-767-2851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8663",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012308A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX8663",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.