Donald J. Bekedam, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23474 Issued in CA

Legal business name

DONALD J. BEKEDAM, D.D.S., INC.

Practice address

2665 Alabama St
Atwater, CA 95301-2908

Phone

(209) 358-1577

Fax

(209) 358-7419

NPI assigned

Sep 25, 2008

Last updated

Sep 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald J. Bekedam, D.D.S.NPI 1912010083

Title

President

Phone

(209) 358-1577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald J. Bekedam, D.D.S.

  • General Practice Dentistry
  • Atwater, CA
  • NPI 1912010083
  NPD (past) Authorized official

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1790935856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 ALABAMA ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012908",
            "telephone_number": "209-358-1577",
            "fax_number": "209-358-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ALABAMA ST",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012908",
            "telephone_number": "209-358-1577",
            "fax_number": "209-358-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. BEKEDAM, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BEKEDAM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-358-1577",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Diaz
• Kayla Diaz
• Eric C. Disbrow, M.D.
• Dobbins Transportation
• Alynna Dominguez
• Thomas Patrick Dowell, PAC
• Natalie Leann Downey
• Taylor Driskell
• Cindy Duarte
• Jennifer Dugo

• General Practice Dentistry in Atwater, CA
• Providers in Atwater, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.