Active NPI
David Martin Dent, D.D.S
- General Practice Dentistry
- Beaumont, TX
National Provider Identifier
1215283528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28226
- Practice address
- 4825 Concord Rd
Beaumont, TX 77703-1811 - Phone
- (409) 347-8085
- Fax
- (409) 347-8316
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 28226 | TX | Primary |
Addresses
Primary practice location
4825 Concord Rd
Beaumont, TX 77703-1811
Mailing address
4825 Concord Rd
Beaumont, TX 77703-1811
Phone (409) 347-8085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28226 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1215283528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 CONCORD RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777031811",
"telephone_number": "409-347-8085",
"fax_number": "409-347-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 CONCORD RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777031811",
"telephone_number": "409-347-8085",
"fax_number": "409-347-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "DAVID",
"middle_name": "MARTIN",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Jeffery Blair Demuth, L.P.C.
- Shannon Denard, CHW, B.N.D.
- William L Denman, DC
- Reshawn Y Dennis, R.PH.
- Ashley Dennison
- Dental & Specialty Imaging
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.