Individual provider Active NPI

William R Beck, D.M.D.

  • Pediatric Dentistry
  • Vineland, NJ
National Provider Identifier
1922281765
Registry record updated Dec 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DI16646 Issued in NJ
Practice address
3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847
Phone
(856) 205-0099
Fax
(856) 205-1633
NPI assigned
Dec 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DI16646 NJ Primary

Addresses

Primary practice location

3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847

Mailing address

3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847
Phone (856) 205-0099

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

LicenseStateTypeSpecialty
DI16646NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry of South Jersey, P.C. Pediatric Dentistry Past Accepting new patients
Babbie Pediatric Dental PastSince Apr 14, 2024 Accepting new patients

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": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197763200000",
    "number": "1922281765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE D-10",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-0099",
            "fax_number": "856-205-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE D-10",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "856-205-0099",
            "fax_number": "856-205-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI16646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.