Jasper Dental Emporium

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASPER DENTAL EMPORIUM

Doing business as

Rayburn General Dentistry

Practice address

3303 W RR 255
Brookeland, TX 75931-6412

Phone

(409) 698-8800

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

John Joshua Seale, DDSNPI 1881891349

Title

Owner/Dentist

Phone

(409) 698-8800

Specialties & licenses 1

Addresses

Other names 1

• Rayburn General Dentistry Doing business as

Tax ID family

Jasper Dental Emporium2 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.

• Jasper Dental Emporium

  dba Rayburn General Dentistry

  • Dentist
  • Brookeland, TX
  • NPI 1760939888
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joshua Seale, DDS

  • Dentist
  • Brookeland, TX
  • NPI 1881891349
  NPD (past) Authorized official

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1659708055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "SAM RAYBURN",
            "state": "TX",
            "postal_code": "759516412",
            "telephone_number": "409-698-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W RR 255",
            "city": "BROOKELAND",
            "state": "TX",
            "postal_code": "759316412",
            "telephone_number": "409-698-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER DENTAL EMPORIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "SEALE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "409-698-8800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rayburn General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri L Cheeley, PA-C
• Christus Health Southeast Texas (CHRISTUS Southeast Texas - Family Practice Center Sam Rayburn)
• Madeline Grace Clark
• Complete Healthcare Services RHC PLLC (Complete Healthcare Services RHC - Rayburn)
• Kennedy Renee Goates, LVN
• Jasper Dental Emporium (Rayburn General Dentistry)
• Jasper Hospital District
• Melanie Denise Kellam, PHD
• Monte O'Neal, DO
• John Joshua Seale, DDS

• General Practice Dentistry in Brookeland, TX
• Providers in Brookeland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.