Individual provider Active NPI

Michael Joe Beke, DDM

  • Dentist
  • Tacoma, WA
National Provider Identifier
1871741793
Registry record updated Jan 27, 2011
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4187 Issued in ID
Practice address
2 ND Floor BLDG 9900
Lincoln Street
Tacoma, WA 98431-0001
Phone
(253) 966-7827
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4187 ID Primary

Addresses

Primary practice location

2 ND Floor BLDG 9900
Lincoln Street
Tacoma, WA 98431-0001

Mailing address

2 ND Floor BLDG 9900
Lincoln Street
Tacoma, WA 98431-0001
Phone (253) 966-7827

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000425 WA Order and Referring Only - DentistPractitioner - Dentist 5890084818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4187IDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1871741793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ND FLOOR BLDG 9900",
            "address_2": "LINCOLN STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-966-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ND FLOOR BLDG 9900",
            "address_2": "LINCOLN STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-966-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKE",
        "first_name": "MICHAEL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DDM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.