NPIMap

Organization Active NPI

Southern Oaks Dental Clinic

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1720413271
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTHERN OAKS DENTAL CLINIC
Practice address
2627 Calder St
Beaumont, TX 77702-1962
Phone
(409) 835-6257
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. John Joshua Seale
Title
Owner/Dentist
Phone
(409) 835-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

2627 Calder St
Beaumont, TX 77702-1962

Mailing address

2627 Calder St
Beaumont, TX 77702-1962
Phone (409) 835-6257

Other names 1

  • Southern Oaks Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1720413271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021962",
            "telephone_number": "409-835-6257",
            "fax_number": "409-835-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021962",
            "telephone_number": "409-835-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OAKS DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2016-01-20",
        "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": "409-835-6257",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oaks Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 2016; 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.