Active NPI
Eric Martin Beckman, DDS MS
- Periodontics
- Aurora, CO
National Provider Identifier
1912132333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10713
- Practice address
- 2900 S Peoria St
Building D
Aurora, CO 80014-5712 - Phone
- (303) 755-4500
- Fax
- (303) 755-4047
- NPI assigned
- May 29, 2009
- Last updated
- Jul 5, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12539 | MN | |
| Periodontics | 1223P0300X | 10713 | CO | Primary |
| Periodontics | 1223P0300X | D12539 | MN |
Addresses
Primary practice location
2900 S Peoria St
Building D
Aurora, CO 80014-5712
Mailing address
2900 South Peoria Street
Building D
Aurora, CO 80014
Phone (303) 755-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 17, 2012 through Apr 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12539 | MN | MD | Periodontist |
| 10713 | CO | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Periodontal Associates | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Aurora, CO
- NPI 1801863303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1912132333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SOUTH PEORIA STREET",
"address_2": "BUILDING D",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "303-755-4500",
"fax_number": "303-755-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S PEORIA ST",
"address_2": "BUILDING D",
"city": "AURORA",
"state": "CO",
"postal_code": "800145712",
"telephone_number": "303-755-4500",
"fax_number": "303-755-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "ERIC",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12539",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "10713",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "D12539",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.