Individual provider Active NPI

Jansen D Bean, DDS

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1639396948
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19418 Issued in TX
Practice address
9300 Wade Blvd Ste 250
Frisco, TX 75035-2174
Phone
(214) 494-8667
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 19418 TX Primary

Addresses

Primary practice location

9300 Wade Blvd Ste 250
Frisco, TX 75035-2174

Mailing address

9300 Wade Blvd Ste 250
Frisco, TX 75035-2174
Phone (214) 494-8667

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
19418TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jansen Bean DDS PLLC General Practice CurrentSince Oct 1, 2023 Accepting new patients
Stonebriar Dental LLP General Practice Past Accepting new patients

Locations

9300 Wade Blvd
Ste 250
Frisco, TX 75035
Phone (214) 494-8667

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1639396948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 WADE BLVD STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352174",
            "telephone_number": "214-494-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 WADE BLVD STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352174",
            "telephone_number": "214-494-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "JANSEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.