Active NPI
David L Beck, MD
- Specialist
- Bainbridge Island, WA
National Provider Identifier
1790724599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00024405
- Practice address
- 4076 Crystal Springs Dr NE
Bainbridge Island, WA 98110-2041 - Phone
- (206) 780-9745
- NPI assigned
- Jun 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00024405 | WA | Primary |
Addresses
Primary practice location
4076 Crystal Springs Dr NE
Bainbridge Island, WA 98110-2041
Mailing address
4076 Crystal Springs Dr NE
Bainbridge Island, WA 98110-2041
Phone (206) 780-9745
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5163BE | Other | WA | REGENCE RIDER# |
| 376418800 | Other | WA | FEDERAL L&I ID# |
| 1641109 | Medicaid | WA | |
| 910875163-37 | Other | WA | KPS ID# |
| 0165077 | Other | WA | L&I ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00024405 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Daily Clinics LLC | Current | Accepting new patients |
Locations
1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368
3320 Auburn Way N
Auburn, WA 98002
Phone (253) 999-5002
Organizations & group practices 1
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.
-
- Methadone Clinic
- Auburn, WA
- NPI 1326502865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1790724599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 CRYSTAL SPRINGS DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102041",
"telephone_number": "206-780-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4076 CRYSTAL SPRINGS DR NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102041",
"telephone_number": "206-780-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "00024405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER#",
"identifier": "5163BE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL L&I ID#",
"identifier": "376418800",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1641109",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS ID#",
"identifier": "910875163-37",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I ID#",
"identifier": "0165077",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.