Active NPI
Beverly Escalona, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1083816342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20374
- Practice address
- 1415 California St
Houston, TX 77006 - Phone
- (832) 548-5000
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20374 | TX | Primary |
Addresses
Primary practice location
1415 California St
Houston, TX 77006
Mailing address
PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20374 | Other | TX | STATE PROFESSIONAL LICENSING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20374 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1083816342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"telephone_number": "832-548-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALIFORNIA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77006",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCALONA",
"first_name": "BEVERLY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROFESSIONAL LICENSING BOARD",
"identifier": "20374",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.