Active NPI
Robert W Beck, DDS
- Dentist
- Fe Warren Afb, WY
National Provider Identifier
1881687267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4887
- Practice address
- 6900 Alden Dr
Fe Warren Afb, WY 82005-3906 - Phone
- (307) 773-5624
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4887 | NE | Primary |
Addresses
Primary practice location
6900 Alden Dr
Fe Warren Afb, WY 82005-3906
Mailing address
PO Box 6014
Lincoln, NE 68506-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4887 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1881687267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6014",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685060014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ALDEN DR",
"city": "FE WARREN AFB",
"state": "WY",
"postal_code": "820053906",
"telephone_number": "307-773-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "4887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fe Warren Afb, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.