Active NPI
Gaurav Puri, BDS, MS
- General Practice Dentistry
- Beaumont, TX
National Provider Identifier
1457509424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24365
- Practice address
- 4400 Highland Ave
Beaumont, TX 77705 - Phone
- (409) 813-1715
- Fax
- (409) 832-3157
- NPI assigned
- Sep 3, 2008
- Last updated
- Jan 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24365 | TX | Primary |
Addresses
Primary practice location
4400 Highland Ave
Beaumont, TX 77705
Mailing address
4400 Highland Ave
Beaumont, TX 77705-5205
Phone (409) 813-1715
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24365 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purify Dental of Sherman PLLC | General Practice | Current | Accepting new patients |
| Purify Dental of Hugo PLLC | Current | Accepting new patients | |
| Bella Smiles PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pecan Grove Dental
- General Practice Dentistry
- Sherman, TX
- NPI 1194671479
-
dba New Image Dental of Hugo
- Dental Clinic/Center
- Hugo, OK
- NPI 1568251635
-
- Dentist
- Mount Pleasant, TX
- NPI 1023431442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1457509424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HIGHLAND AVE",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777055205",
"telephone_number": "409-813-1715",
"fax_number": "409-832-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HIGHLAND AVE",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77705",
"telephone_number": "409-813-1715",
"fax_number": "409-832-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "GAURAV",
"name_prefix": "Dr.",
"credential": "BDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Brazhona Prudhomme
- Stacy Lynn Pruitt, RD, LD
- Gita Chetty Pulley, O. D.
- Pulse Homecare, LTD. (Pulse Homecare)
- Nestor Cagol Punay, M.D.
- Qamar U Arfeen MD PA
- Iqra Qazi, MD
- Emily Le Linh Phuong Quach, PHARMD
- Quality Care Sitter Service, Inc. (dba Quality Care Services, Inc.)
- Quality Care Sitter Services (Quality Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.