Nancy Endari D.D.S., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19565 Issued in TX

Legal business name

NANCY ENDARI D.D.S., P.A.

Practice address

2155 Dowlen Rd
Beaumont, TX 77706-2534

Phone

(409) 861-0100

Fax

(409) 861-0105

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Nyousa Endari, DDS

Title

Owner/Dentist

Phone

(409) 861-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1033538301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062534",
            "telephone_number": "409-861-0100",
            "fax_number": "409-861-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062534",
            "telephone_number": "409-861-0100",
            "fax_number": "409-861-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY ENDARI D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "ENDARI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "NYOUSA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "409-861-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.