Organization Active NPI

Beaumont Texas Dental PC

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1407336514
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEAUMONT TEXAS DENTAL PC
Practice address
3939 Dowlen Rd Ste 17
Beaumont, TX 77706-6876
Phone
(409) 924-7800
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Kauser Shereen, DDSNPI 1497129431
Title
Owner
Phone
(409) 924-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3939 Dowlen Rd Ste 17
Beaumont, TX 77706-6876

Mailing address

3939 Dowlen Rd Ste 17
Beaumont, TX 77706-6876

National Provider Directory

National Provider Directory

Locations

3939 Dowlen Rd
Ste 17
Beaumont, TX 77706
Phone (409) 201-8723

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": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1407336514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 DOWLEN RD STE 17",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 DOWLEN RD STE 17",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066876",
            "telephone_number": "409-924-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT TEXAS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SHEREEN",
        "authorized_official_first_name": "KAUSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-924-7800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 17, 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.

Verify at the official NPI Registry.