Active NPI
Joel S Koehler, D.D.S.
- General Practice Dentistry
- Beaumont, TX
National Provider Identifier
1750536306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10718
- Practice address
- 3560 Delaware St
Suite 604
Beaumont, TX 77706-3067 - Phone
- (409) 898-7218
- NPI assigned
- Nov 24, 2008
- Last updated
- Nov 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10718 | TX | Primary |
Addresses
Primary practice location
3560 Delaware St
Suite 604
Beaumont, TX 77706-3067
Mailing address
3560 Delaware St
Suite 604
Beaumont, TX 77706-3067
Phone (409) 898-7218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10718 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1750536306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 604",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-898-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 604",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-898-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "JOEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "10718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.