Active NPI
Jason Michael Smalley, MD
- Pediatrics Physician
- Beaumont, TX
National Provider Identifier
1346408002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T8057
- Practice address
- 490 Ih-10 Frontage Rd Ste 700
Beaumont, TX 77702 - Phone
- (409) 212-9988
- Fax
- (409) 212-8449
- NPI assigned
- May 29, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T8057 | TX | Primary |
Addresses
Primary practice location
490 Ih-10 Frontage Rd Ste 700
Beaumont, TX 77702
Mailing address
490 I-10 N Ste 100
Beaumont, TX 77702-1819
Phone (409) 212-9988
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T8057 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Best Care Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
490 Interstate 10 N
Ste 100
Beaumont, TX 77702
Phone (409) 212-9988
12377 Merit Dr
Ste 300
Dallas, TX 75251
222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Dallas, TX
- NPI 1730337163
-
- Pediatrics Physician
- Beaumont, TX
- NPI 1134175425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1346408002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 I-10 N STE 100",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021819",
"telephone_number": "409-212-9988",
"fax_number": "409-212-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 IH-10 FRONTAGE RD STE 700",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77702",
"telephone_number": "409-212-9988",
"fax_number": "409-212-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T8057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.