Becker Dermatology

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

DR-51006 Issued in CO

Legal business name

BECKER DERMATOLOGY

Practice address

1122 Orange PL
Boulder, CO 80304-0733

Phone

(303) 506-6464

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Todd Charles Becker, M.D., PH.D.

Title

Owner

Phone

(303) 506-6464

Specialties & licenses 1

Addresses

Other names 1

• Becker Dermatology, pllc Other name

Locations

Practitioners 1

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

• Ida Rastegar, M.D.

  • Obstetrics & Gynecology Physician
  • Sylmar, CA
  • NPI 1962581934
  NPD

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1770822249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 ORANGE PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040733",
            "telephone_number": "303-506-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ORANGE PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040733",
            "telephone_number": "303-506-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-506-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR-51006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker Dermatology, pllc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Beaumont
• Lyn Beaupre, RN
• Sara Gael Beauregard, M.A.
• Ashley Beck
• Lisa Muratore Beckelhymer, SLP
• Alicia Dolores Becker
• Brian Becker
• Gina V. Becker, RN
• Mary Ellen Becker, M.D
• Mary Gail Becker, PH. D.

• MOHS-Micrographic Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• MOHS-Micrographic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.