Organization Active NPI

Ricky Becker MD PC

  • Plastic Surgery Physician
  • Bismarck, ND
National Provider Identifier
1811166325
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RICKY BECKER MD PC
Practice address
1500 Interchange Ave
Ste 100
Bismarck, ND 58501-2079
Phone
(701) 530-3011
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Debbie Carlson
Title
Office Manager
Phone
(701) 530-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1500 Interchange Ave
Ste 100
Bismarck, ND 58501-2079

Mailing address

1500 Interchange Ave
Ste 100
Bismarck, ND 58501-2079
Phone (701) 530-3011

Other identifiers 1

IdentifierTypeStateIssuer
N711225OtherNDGROUP

National Provider Directory

National Provider Directory

Locations

810 E Rosser Ave
#301
Bismarck, ND 58501
Phone (701) 530-3003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1811166325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 INTERCHANGE AVE",
            "address_2": "STE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012079",
            "telephone_number": "701-530-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 INTERCHANGE AVE",
            "address_2": "STE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012079",
            "telephone_number": "701-530-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY BECKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-530-3011"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "N711225",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.