Dental & Specialty Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DENTAL & SPECIALTY IMAGING

Practice address

3199 Dowlen Rd
Suite D
Beaumont, TX 77706-7284

Phone

(409) 347-8165

Fax

(409) 347-8162

NPI assigned

Dec 28, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shane Freeman

Title

Owner

Phone

(409) 347-8165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053595868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 DOWLEN RD",
            "address_2": "SUITE D",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067284",
            "telephone_number": "409-347-8165",
            "fax_number": "409-347-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 DOWLEN RD",
            "address_2": "SUITE D",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067284",
            "telephone_number": "409-347-8165",
            "fax_number": "409-347-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL & SPECIALTY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-347-8165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Denard, CHW, B.N.D.
• William L Denman, DC
• Reshawn Y Dennis, R.PH.
• Ashley Dennison
• David Martin Dent, D.D.S
• Dept of Assistive & Rehab Serv - Beaumont Field Office
• Alyssa Nicole Deramus, M.S. SLP-INTERN
• Raymond Derderian, M.D.
• Dermatology and Laser Medicine of Southeast Texas PLLC
• Tripp A Derouen, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.