Becker Boris P DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025213 Issued in IL

Legal business name

BECKER BORIS P DDS PC

Practice address

214 Randall Rd
South Elgin, IL 60177-2274

Phone

(847) 622-0400

Fax

(847) 622-7818

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Boris Becker, DDSNPI 1114076254

Title

Owner

Phone

(847) 622-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Becker Boris P DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Becker Dental and Associates

  • General Practice Dentistry
  • Des Plaines, IL
  • NPI 1437553591
  NPD tax ID

Locations

Practitioners 1

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

• Boris P Becker, DDS

  • General Practice Dentistry
  • South Elgin, IL
  • NPI 1114076254
  NPD (past) Authorized official

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1821253931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772274",
            "telephone_number": "847-622-0400",
            "fax_number": "847-622-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772274",
            "telephone_number": "847-622-0400",
            "fax_number": "847-622-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER BORIS P DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-622-0400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahnaz Bangash
• Michelle L Bartolone, LMT
• Jacob Andrew Bastin
• Danielle K Battistoni, FNP-BC
• Stacy A Baum, P.A.
• Boris P Becker, DDS
• Janet Sue Bellefontaine, PHYICAL THERAPIST
• Joseph Carl G Benavidez
• Anthony R Bennardo, D.D.S.
• Jillene Bjorklund

• General Practice Dentistry in South Elgin, IL
• Providers in South Elgin, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.