JONATHAN BEKER (DMD MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1407389802

Oral & Maxillofacial Surgery (D.M.D.)

JONATHAN BEKER (DMD MD) is a healthcare provider. based in Fishers, Indiana. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials DMD MD. They hold a License No. 12013964A (IN). The NPI Number for JONATHAN BEKER (DMD MD) is 1407389802

Main info

Male

9 Years Of Experience

Accepts Medicare Assignment

Name

JONATHAN BEKER (DMD MD)

NPI

1407389802

Phone

(317) 845-7878

Address

10972 ALLISONVILLE RD STE 110

Enumeration Date

4 April 2017

Last Update Date

19 June 2023

Doctor Profile

Medical School Name

HARVARD SCHOOL OF DENTAL MEDICINE

Secondary Phone

3178467377

Graduation Year

2017 (9 years ago)

PAC ID

7416365473

Group Practice PAC ID

9335157254

Professional Enrollment ID

I20240308002664

Address ID

IN462601822IN9240XSTXX401

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience47

Completeness75

Years active:9State licenses:1Digital endpointsOther names

34 MAXILLOFACIAL SURGERY in IN

Provider Addresses for JONATHAN BEKER (DMD MD)

10972 ALLISONVILLE RD STE 110
FISHERS, IN 460382639
Phone: (317) 845-7878
Type: Mailing
1, Parker Hill Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
ROXBURY CROSSING, MA 021203289
Phone: (404) 384-0482
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2023-06-24 • Largest payer in this snapshot: Dentsply Sirona Inc ($122).

Total Amount

$183

General + Research + Ownership

Payments

Total payment records

General Amount

$183

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Dentsply Sirona Inc	$122
Stryker Corporation	$61

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240308002664	I	Maxillofacial Surgery	IN	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9335157254View full group profile

Name	Specialty	State
DR. MATTHEW D BOJRAB (D.D.S., M.S.)	Maxillofacial Surgery, Oral Surgery	IN
SAMUEL ALBERT TANCREDI (D.D.S.)	Oral Surgery, Maxillofacial Surgery	IN
DR. MICHAEL G KAPP (D.D.S.)	-	IN
DR. NATALIE ANNE MUIR EDEN (D.D.S.)	Maxillofacial Surgery, Oral Surgery	IN
DR. DAVID M MONTES (D.D.S.)	Maxillofacial Surgery, Oral Surgery	IN
DR. PHILIP M MONTEFALCO (D.D.S.)	Maxillofacial Surgery	IN
CHRISTOPHER T. KIRKUP (DDS, MS)	Maxillofacial Surgery	IN
JOHN W. ADELSPERGER (D.D.S.)	-	IN
DR. JOHN E JR. MOENNING (D.D.S., M.S.D.)	-	IN
DR. MATTHEW MILLER DAVIS (D.D.S)	Maxillofacial Surgery	IN

Reviews

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Frequently asked questions

Does JONATHAN BEKER (DMD MD) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — JONATHAN BEKER (DMD MD) uses 1407389802.

Is JONATHAN BEKER (DMD MD) listed as active for patients and plans?

The listing shows JONATHAN BEKER (DMD MD) as active in the NPI system.

What taxonomy line describes JONATHAN BEKER (DMD MD)?

For research purposes, treat JONATHAN BEKER (DMD MD) as Oral & Maxillofacial Surgery (D.M.D.) in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for JONATHAN BEKER (DMD MD)?

JONATHAN BEKER (DMD MD)'s geographic hint is Fishers, Indiana in our summary view.

Why does JONATHAN BEKER (DMD MD) have multiple addresses?

4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.