NPIMap

Organization Active NPI

Clinkscales Dental

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1013289776
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15300 Issued in TX
Legal business name
CLINKSCALES DENTAL
Practice address
590 Dowlen Rd
Beaumont, TX 77706-6014
Phone
(409) 866-9541
Fax
(409) 866-0622
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Charles Clinkscales Jr., DDSNPI 1447274626
Title
Owner
Phone
(409) 866-9541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15300 TX Primary

Addresses

Primary practice location

590 Dowlen Rd
Beaumont, TX 77706-6014

Mailing address

590 Dowlen Rd
Beaumont, TX 77706-6014
Phone (409) 866-9541

Other names 1

  • Beaumont Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

590 Dowlen Rd
Beaumont, TX 77706
Phone (409) 866-9541

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1013289776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066014",
            "telephone_number": "409-866-9541",
            "fax_number": "409-866-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066014",
            "telephone_number": "409-866-9541",
            "fax_number": "409-866-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINKSCALES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "CLINKSCALES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-866-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.