DR. JOHN MARK BECKSTEAD (NPI# 1093831323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093831323 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARK BECKSTEAD |
| Credential | D.D.S. |
| Practice Address |
777 Welch Rd Suite N Palo Alto CA 94304-1613 |
| Practice Telephone | 6503213443 |
| Practice Fax Number | 6503211265 |
| Mailing Telephone | 6503213443 |
| Mailing Fax Number | 6503211265 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
35373 | CA | Dental Providers |
| Street Address |
777 WELCH RD SUITE N |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811923592 | Terry G Fiori | Dentist | 777 Welch Rd, Suite K, Palo Alto, CA 94304-1613 | 2006-06-24 |
| 1598141566 | Stanford Healthcare | General Acute Care Hospital | 777 Welch Rd, Suite De, Palo Alto, CA 94304-1613 | 2015-07-31 |
| 1881970457 | W. Paul Brown | Dentist | 777 Welch Rd, Palo Alto, CA 94304-1613 | 2011-10-27 |
| 1841399557 | Ala U Din | Dentist | 777 Welch Rd, Suite # G, Palo Alto, CA 94304-1613 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639208275 | David Aaron Lipson | Dentist | 680 University Ave, Palo Alto, CA 94301-2021 | 2007-03-02 |
| 1235270554 | Jerold Hayes Lipson | Dentist | 680 University Av, Palo Alto, CA 94301 | 2007-02-09 |
| 1881604494 | Kristian Lundgren Koszeghy Dmd Mmsc Inc | Dentist | 850 Middlefield Rd, Ste #1, Palo Alto, CA 94301 | 2006-08-08 |
| 1639187800 | Kristian Lundgren-koszeghy | Dentist | 850 Middlefield Rd Ste 1, Palo Alto, CA 94301-2918 | 2006-08-04 |
| 1811923592 | Terry G Fiori | Dentist | 777 Welch Rd, Suite K, Palo Alto, CA 94304-1613 | 2006-06-24 |
| 1861960692 | Kristian Lundgren-koszeghy D.m.d, M.m.sc., Inc | Dentist | 850 Middlefield Rd Ste 1, Palo Alto, CA 94301-2918 | 2018-11-09 |
| 1396981577 | James H. Kelso | Dentist | 3920 Middlefield Rd, Palo Alto, CA 94303-4733 | 2008-12-18 |
| 1083894810 | Lynna Bk Bui, Dds, Mph, Apc | Dentist | 1900 University Ave, Suite #106, Palo Alto, CA 94303-2212 | 2007-11-09 |
| 1902967540 | Lynna Bui | Dentist | 1900 University Ave, Suite 106, Palo Alto, CA 94303-2212 | 2006-12-13 |
| 1841376985 | James Owen Bartlett | Dentist | 850 Middlefield Rd, Ste 1, Palo Alto, CA 94301-2923 | 2006-10-31 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. JOHN MARK BECKSTEAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.