Organization Active NPI

Beaumont Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaumont, TX
National Provider Identifier
1366728040
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12803 Issued in TX
Legal business name
BEAUMONT ORTHODONTIC SPECIALISTS
Practice address
3954 Eastex Freeway
Beaumont, TX 77703
Phone
(409) 434-4121
Fax
(888) 371-0515
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. David Caldwell, DDS
Title
President
Phone
(409) 434-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12803 TX Primary

Addresses

Primary practice location

3954 Eastex Freeway
Beaumont, TX 77703

Mailing address

3954 Eastex Freeway
Beaumont, TX 77703
Phone (409) 434-4121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1366728040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 EASTEX FREEWAY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77703",
            "telephone_number": "409-434-4121",
            "fax_number": "888-371-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 EASTEX FREEWAY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77703",
            "telephone_number": "409-434-4121",
            "fax_number": "888-371-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-434-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "12803",
            "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 Oct 26, 2011; 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.