William C Beckert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19026430 Issued in IL

Practice address

804 N Idler LN
Greenville, IL 62246-1390

Phone

(618) 664-0986

Fax

(618) 664-1055

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881768919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N IDLER LN",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461390",
            "telephone_number": "618-664-0986",
            "fax_number": "618-664-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N IDLER LN",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461390",
            "telephone_number": "618-664-0986",
            "fax_number": "618-664-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERT",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19026430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Theodore Althardt, D.C.
• Charles E Auer, MD
• Jamie L Baum, M.D.
• Jennifer Beard
• Adrienne Kayle Beavor, LPC
• Bobby R Blum, ANP-C
• Bond County (Bond County Health Department)
• Bond County Community Unit
• Bond County Community Unit No. 2
• Bond County Health Department (Dental Clinic)

• General Practice Dentistry in Greenville, IL
• Providers in Greenville, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.