Individual provider Active NPI

John William Beason, DDS

  • Dentist
  • Huntsville, TX
National Provider Identifier
1265831010
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11707 Issued in TX
Practice address
815 12TH St
Huntsville, TX 77348-5200
Phone
(936) 437-1676
Fax
(936) 437-1673
NPI assigned
Aug 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11707 TX Primary

Addresses

Primary practice location

815 12TH St
Huntsville, TX 77348-5200

Mailing address

815 12TH St
Huntsville, TX 77340-5200
Phone (936) 437-1676

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

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1265831010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 12TH ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405200",
            "telephone_number": "936-437-1676",
            "fax_number": "936-437-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 12TH ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773485200",
            "telephone_number": "936-437-1676",
            "fax_number": "936-437-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASON",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.