CMS-1500 Box 24J / 33a • NPI
1497981104
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223P0300X
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
8955 WOOD RD, BETHESDA, MD, 20889-5750
✓ 9-Digit EDI 837 ZIP+4 (20889-5750)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1497981104 (JARED CAMERON BECK, D.M.D.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1497981104 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JARED CAMERON BECK, D.M.D. |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223P0300X (Dentist, Periodontics) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 8955 WOOD RD, BETHESDA, MD, 20889-5750 |
| Practice Telephone / Fax | Tel: (301) 295-1614 |
| Administrative Mailing Address | 6266 COBBLECREST RD, HOLLADAY, UT, 84121-2218 |
| Enumeration & Last Sync | Enumerated: 2009-06-09 | CMS Record Updated: 2024-07-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1223P0300X)
What Does Taxonomy Code 1223P0300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223P0300X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JARED CAMERON BECK, D.M.D.)
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 |
|---|---|
1223P0300X — Dentist, PeriodonticsPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: UT | License: 3105693-9926 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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