Organization Active NPI

Bethesda Family Physicians Associates

Doing business as Bethesda Family Clinic

  • Pediatric Dentistry
  • Tyler, TX
National Provider Identifier
1467689307
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Sep 21, 2026

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
203763201MedicaidTX
G6063601OtherTXDELTA DENTAL- CHIPS
203763202OtherTXMEDICAID-CSCHN

Other names 2

  • Bethesda Family Clinic Doing business as
  • Bethesda Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.