Active NPI
Suzanne M Beck, DO
- Family Medicine Physician
- Lakewood, CO
National Provider Identifier
1992743710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31825
- Practice address
- 12790 W Alameda Pkwy Ste a
Lakewood, CO 80228-2850 - Phone
- (303) 403-6350
- Fax
- (303) 403-6372
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31825 | CO | Primary |
Addresses
Primary practice location
12790 W Alameda Pkwy Ste a
Lakewood, CO 80228-2850
Mailing address
500 Eldorado Blvd Ste 6250
Broomfield, CO 80021-3421
Phone (303) 272-0768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080115316 | Other | MEDICARE RAIL ROAD | |
| 44528566 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1992743710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ELDORADO BLVD STE 6250",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213421",
"telephone_number": "303-272-0768",
"fax_number": "303-318-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12790 W ALAMEDA PKWY STE A",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282850",
"telephone_number": "303-403-6350",
"fax_number": "303-403-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "31825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "080115316",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44528566",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.