NPIMap

Organization Active NPI

Westside Dental PLLC

  • Dentist
  • Pearland, TX
National Provider Identifier
1801382486
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28999 Issued in TX
Legal business name
WESTSIDE DENTAL PLLC
Practice address
5523 Broadway St
Pearland, TX 77581-3739
Phone
(281) 997-2001
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Dr. Kelly Patrick Beckham Jr., DDSNPI 1891132114
Title
Dentist
Phone
(832) 244-2770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28999 TX Primary

Addresses

Primary practice location

5523 Broadway St
Pearland, TX 77581-3739

Mailing address

5523 Broadway St
Pearland, TX 77581-3739
Phone (281) 997-2001

National Provider Directory

National Provider Directory

Locations

5523 Broadway St
Pearland, TX 77581
Phone (281) 997-2001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1801382486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813739",
            "telephone_number": "281-997-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813739",
            "telephone_number": "281-997-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-244-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.