Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437299989 Individual Practitioner Male Practitioner

Dr. Ken A. Beckerman , DDS

Dentist • Princeton, IN

Professional Overview & Biography Verified Profile Summary

Dr. Ken Beckerman, DDS is a registered healthcare professional specializing in Dentist in Princeton, IN. Practice services are available at 109 W BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 W Broadway St

Princeton, IN 476701501

Telephone 8123852750
Fax 8123852878
Associated Practice Facility / Clinic
🏢 Value Vision Optical, Llc Facility NPI 1770873655

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Princeton, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Princeton, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12007838

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IN 12007838

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Individual Npi
1437299989 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sharon Beckerman , RN

Registered Nurse

NPI 1992841001

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 109 W BROADWAY ST, PRINCETON, IN 476701501 (Tel: 8123852750)

📍
Updated Business Mailing Address January 24, 2017

Registered at 109 W BROADWAY ST, PO BOX 462, PRINCETON, IN 476701501 (Tel: 8123852750)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as KEN BECKERMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Dentist (License #12007838 in IN)

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2016

Registered at 109 W BROADWAY ST, PRINCETON, IN 476701501 (Tel: 8123852750)

📍
Updated Business Mailing Address October 19, 2016

Registered at 109 W BROADWAY ST, PO BOX 462, PRINCETON, IN 476701501 (Tel: 8123852750)

👤
Provider Name / Credentials Updated October 19, 2016

Recorded as KEN BECKERMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Dentist (License #12007838 in IN)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437299989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: January 24, 2017
Sole Proprietor: Yes

Mailing Address

109 W Broadway St, Po Box 462

Princeton, IN 476701501

Phone: 8123852750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.