Stacy Becker, DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2002011129 Issued in MO

Legal business name

STACY BECKER, DDS, LLC

Practice address

1280 Main St
Imperial, MO 63052-3861

Phone

(636) 461-2255

Fax

(636) 461-0401

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Elaine Becker Ochoa, D.D.S.

Title

Owner/Member

Phone

(636) 461-2255

Specialties & licenses 1

Addresses

Other names 1

• Precision Dental Care Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Elaine Becker, D.D.S.

  • Dentist
  • Imperial, MO
  • NPI 1750491833
  NPD (past)
• Emily Mack, DMD

  • Dentist
  • Imperial, MO
  • NPI 1932639648
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1992887467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 MAIN ST",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630523861",
            "telephone_number": "636-461-2255",
            "fax_number": "636-461-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MAIN ST",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630523861",
            "telephone_number": "636-461-2255",
            "fax_number": "636-461-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY BECKER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ELAINE BECKER",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "636-461-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002011129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Ryan Schmitz, D.C.
• Amanda Schwarztrauber, RN
• Sierra Elizabeth Seidel
• Sincere Solace Counseling LLC
• Leslie Ann Smith
• Rebecca Ann Stigen, ATC/L
• Kimberly Marie Sweesy, LPC
• The Covering House
• The Optical Outlet
• Theresa a Eschmann LLC

• Dentist in Imperial, MO
• Providers in Imperial, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.