Active NPI
Bethesda Family Physicians Associates
Doing business as Bethesda Family Clinic
- Pediatric Dentistry
- Tyler, TX
National Provider Identifier
1467689307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- BETHESDA FAMILY PHYSICIANS ASSOCIATES
- Doing business as
- Bethesda Family Clinic
Bethesda Pediatrics - Practice address
- 132 S Horace Ave
Tyler, TX 75702-6159 - Phone
- (903) 593-7607
- Fax
- (903) 593-3965
- NPI assigned
- Jun 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelsea Cohen
- Title
- Coo
- Phone
- (903) 531-9455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
132 S Horace Ave
Tyler, TX 75702-6159
Mailing address
132 S Horace Ave
Tyler, TX 75702-6159
Phone (903) 593-7607
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203763201 | Medicaid | TX | |
| G6063601 | Other | TX | DELTA DENTAL- CHIPS |
| 203763202 | Other | TX | MEDICAID-CSCHN |
Other names 2
- Bethesda Family Clinic
- Bethesda Pediatrics
National Provider Directory
National Provider Directory- Tax ID family
- Bethesda Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bethesda Family Clinic
- Pediatrics Physician
- Tyler, TX
- NPI 1336376391
Locations
132 S Horace Ave
Tyler, TX 75702
Phone (903) 526-4900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Troup, TX
- NPI 1043302375
-
- Dentist
- Conroe, TX
- NPI 1396031654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1467689307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S HORACE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757026159",
"telephone_number": "903-593-7607",
"fax_number": "903-593-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S HORACE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757026159",
"telephone_number": "903-593-7607",
"fax_number": "903-593-3965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA FAMILY PHYSICIANS ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-18",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "CHELSEA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "903-531-9455"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203763201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL- CHIPS",
"identifier": "G6063601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-CSCHN",
"identifier": "203763202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bethesda Family Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bethesda Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
- Jarett D. Berry, MD
- Virginia Berry
- Sarah Michelle Berumen, MPAS, PA-C, RDMS
- Paula Alinda Bessonett, MD
- Bethesda Family Physicians Associates (Bethesda Family Clinic)
- Better Days at Home Senior Care Service
- Better Home Care LLC
- Better Living Management Inc
- Jerry J Bettinger, M.D.
- Floyd Galloway Betts III, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.