Jasper Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

25968 Issued in TX

Legal business name

JASPER FAMILY DENTAL PLLC

Practice address

860 S 11TH St
Suite 101
Beaumont, TX 77701-3736

Phone

(281) 689-8000

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Geetika Rastogi

Title

Owner

Phone

(832) 369-6941

Specialties & licenses 1

Addresses

Tax ID family

Jasper Family Dental2 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 Family Dental

  • Dentist
  • Jasper, TX
  • NPI 1699104000
  NPD tax ID

Locations

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1750775615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323418",
            "telephone_number": "832-369-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S 11TH ST",
            "address_2": "SUITE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013736",
            "telephone_number": "281-689-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-369-6941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Lynette Jansky, M.D.
• Lillie Marie January, LPC
• Christina Jarrell
• Colin Shane Jarrett
• Jason Mensah DO PA
• Jasper Radiology Associates PC
• Rehana Haq Javed, M.D.
• Kandaswamy Jayaraj, M.D.
• Brian Eric Jaynes, DDS
• Carley Ann Jaynes

• Dentist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.