Active NPI
Earl Jay Boyd Quigley, DDS
- Dentist
- Beaumont, TX
National Provider Identifier
1811053259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16219
- Practice address
- 6880 Vegas
Beaumont, TX 77708-3589 - Phone
- (409) 658-4450
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16219 | TX | Primary |
Addresses
Primary practice location
6880 Vegas
Beaumont, TX 77708-3589
Mailing address
6880 Vegas
Beaumont, TX 77708-3589
Phone (409) 658-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202000196 | TX | Order and Referring Only - Dentist | 7113221797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16219 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1811053259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6880 VEGAS",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777083589",
"telephone_number": "409-658-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6880 VEGAS",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777083589",
"telephone_number": "409-658-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "EARL JAY",
"middle_name": "BOYD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16219",
"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 Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.