Individual provider Active NPI

Alex Owen Becker, DDS

  • Dentist
  • Grand Island, NE
National Provider Identifier
1902655517
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8004 Issued in NE
Practice address
2116 W Faidley Ave
Grand Island, NE 68803-4678
Phone
(308) 382-4297
NPI assigned
May 15, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8004 NE Primary

Addresses

Primary practice location

2116 W Faidley Ave
Grand Island, NE 68803-4678

Mailing address

1917 Connor St
Lincoln, NE 68505-3696
Phone (402) 525-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240803000359 NE Practitioner - Dentist 5991242232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Health Center, Inc. Current Accepting new patients
Heartland Health Center Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

2116 W Faidley Ave
Ste 2100
Grand Island, NE 68803
Phone (308) 382-4297

423 W 4th St
Grand Island, NE 68801
Phone (308) 382-4297

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

Interoperability endpoints

  • Direct secure messaging: alex.becker.p1@direct.heartlandhealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1902655517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 CONNOR ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053696",
            "telephone_number": "402-525-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034678",
            "telephone_number": "308-382-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ALEX",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.