NPIMap

Organization Active NPI

Jasper Dental Emporium

  • Dentist
  • Brookeland, TX
National Provider Identifier
1760939888
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22917 Issued in TX
Legal business name
JASPER DENTAL EMPORIUM
Doing business as
Rayburn General Dentistry
Practice address
3303 Recreational Road 255 West
Brookeland, TX 75931
Phone
(409) 698-8800
Fax
(409) 698-8801
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. John Joshua Seale, DDS
Title
Owner/Dentist
Phone
(409) 698-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 22917 TX Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 15204 TX

Addresses

Primary practice location

3303 Recreational Road 255 West
Brookeland, TX 75931

Mailing address

3303 Recreational Road 255 West
Brookeland, TX 75931
Phone (409) 698-8800

Other names 1

  • Rayburn General Dentistry Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1760939888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 RECREATIONAL ROAD 255 WEST",
            "city": "BROOKELAND",
            "state": "TX",
            "postal_code": "75931",
            "telephone_number": "409-698-8800",
            "fax_number": "409-698-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 RECREATIONAL ROAD 255 WEST",
            "city": "BROOKELAND",
            "state": "TX",
            "postal_code": "75931",
            "telephone_number": "409-698-8800",
            "fax_number": "409-698-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER DENTAL EMPORIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22917",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rayburn General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookeland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.