Individual provider Active NPI

Micheal H. Beto, D.D.S.

  • General Practice Dentistry
  • Laughlin AFB, TX
National Provider Identifier
1437167244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19981 Issued in TX
Practice address
590 Mitchell Blvd
Laughlin AFB, TX 78843-5244
Phone
(830) 298-6332
Fax
(830) 298-6355
NPI assigned
Aug 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19981 TX Primary

Addresses

Primary practice location

590 Mitchell Blvd
Laughlin AFB, TX 78843-5244

Mailing address

400 Echo Valley Dr
N/a
Del Rio, TX 78840-2144
Phone (830) 778-2894

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

LicenseStateTypeSpecialty
19981TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437167244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ECHO VALLEY DR",
            "address_2": "N/A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402144",
            "telephone_number": "830-778-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MITCHELL BLVD",
            "city": "LAUGHLIN AFB",
            "state": "TX",
            "postal_code": "788435244",
            "telephone_number": "830-298-6332",
            "fax_number": "830-298-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETO",
        "first_name": "MICHEAL",
        "middle_name": "H.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin AFB, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.