JONATHAN BEKER DMD MD NPI 1407389802

NPI Information

  • NPI: 1407389802
  • Provider Name: JONATHAN BEKER, DMD MD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10972 ALLISONVILLE RD STE 110
    FISHERS, IN
    ZIP 46038
  • Phone: (317) 845-7878

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NPI Details

Jonathan Beker, DMD MD is an oral maxillofacial surgery in Fishers, IN with 8 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Jonathan Beker, DMD MD NPI is 1407389802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD SCHOOL OF DENTAL MEDICINE
Graduation Year:2017

The provider's business location address is:

10972 ALLISONVILLE RD STE 110
FISHERS, IN
ZIP 46038-639
Phone: (317) 845-7878

The NPI 1407389802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 6/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery12013964AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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