Michael Beckerman DMD & Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL BECKERMAN DMD & ASSOCIATES, LLC

Practice address

512 W Bankhead Hwy
Villa Rica, GA 30180-1703

Phone

(770) 459-5197

Fax

(770) 459-5146

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Beckerman, DMDNPI 1568834117

Title

Owner

Phone

(678) 523-9007

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Beckerman, DMD

  • Dentist
  • Villa Rica, GA
  • NPI 1568834117

  General Practice

  NPD (past) Authorized official
• Harold Steve Woodall, D.D.S.

  • General Practice Dentistry
  • Villa Rica, GA
  • NPI 1780719559
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1952962458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BANKHEAD HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801703",
            "telephone_number": "770-459-5197",
            "fax_number": "770-459-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BANKHEAD HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801703",
            "telephone_number": "770-459-5197",
            "fax_number": "770-459-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BECKERMAN DMD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "BECKERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-523-9007",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Monique McMillian
• Kalene McSwain Faulkner
• Joseph Paul McWilliams, R PH
• Victoria Mearns
• Medic-Pearl, LLC
• Whitney Marie Mighty
• Mirror Lake Drugs & Medical Services LLC (Mirror Lake Drugs)
• Mirror Lake Drugs & Medical Services LLC
• Mobolaji Shalom Oyebanjo, Inc (The Potter Behavioral Medicine Clinic)
• Allyson Moffatt, LPC

• General Practice Dentistry in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.