Individual provider Active NPI

Fatima Natouf, DDS

  • Dentist
  • Beaumont, TX
National Provider Identifier
1467175315
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39053 Issued in TX
Practice address
860 S 11TH St Ste 101
Beaumont, TX 77701-3737
Phone
(409) 240-2990
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39053 TX Primary

Addresses

Primary practice location

860 S 11TH St Ste 101
Beaumont, TX 77701-3737

Mailing address

6463 Bell Pointe
Beaumont, TX 77706-2590
Phone (510) 325-3227

Other identifiers 1

IdentifierTypeStateIssuer
D8388732MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.crosbyfamilydental.com

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

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1467175315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 BELL POINTE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062590",
            "telephone_number": "510-325-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S 11TH ST STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013737",
            "telephone_number": "409-240-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATOUF",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D8388732",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.crosbyfamilydental.com",
            "affiliation": "N",
            "address_1": "6463 Bell Pointe",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777062590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 26, 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.