CMS-1500 Box 24J / 33a • NPI
1104485333
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223G0001X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
220 N GLOCHESKI DR, MANISTEE, MI, 49660-2635
✓ 9-Digit EDI 837 ZIP+4 (49660-2635)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104485333 (AMANDA MARIE BECK, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104485333)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 46 | 38 |
| Chlorhexidine Gluconate Chlorhexidine Gluconate | 81 | 62 |
| Ibuprofen Ibuprofen | 26 | 24 |
| Sf 5000 Plus Fluoride (Sodium) | 13 | <11 |
| Sodium Fluoride Fluoride (Sodium) | 28 | 17 |
| Sodium Fluoride 5000 Plus Fluoride (Sodium) | 54 | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104485333 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMANDA MARIE BECK, DDS |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223G0001X (Dentist, General Practice) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 220 N GLOCHESKI DR, MANISTEE, MI, 49660-2635 |
| Practice Telephone / Fax | Tel: (231) 398-9305 |
| Administrative Mailing Address | 220 N GLOCHESKI DR, MANISTEE, MI, 49660-2635 |
| Enumeration & Last Sync | Enumerated: 2019-06-11 | CMS Record Updated: 2022-11-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1223G0001X)
What Does Taxonomy Code 1223G0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMANDA MARIE BECK, DDS)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: MI | License: 2951000658 | Primary: Secondary |
1223G0001X — Dentist, General PracticePlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: MI | License: 2901600455 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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