Active NPI
Beaumont Lotus Dental
- Dentist
- Beaumont, TX
National Provider Identifier
1821329764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21351
- Legal business name
- BEAUMONT LOTUS DENTAL
- Practice address
- 2106 N 11TH St
Beaumont, TX 77703-4912 - Phone
- (832) 274-2309
- NPI assigned
- Jan 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khoa Trong Le
- Title
- D.D.S.
- Phone
- (409) 466-7093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21351 | TX | Primary |
Addresses
Primary practice location
2106 N 11TH St
Beaumont, TX 77703-4912
Mailing address
2106 N 11TH St
Beaumont, TX 77703-4912
National Provider Directory
National Provider Directory- Tax ID family
- Beaumont Lotus Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Beaumont, TX
- NPI 1417260647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263513600000",
"number": "1821329764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 N 11TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777034912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 N 11TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777034912",
"telephone_number": "832-274-2309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUMONT LOTUS DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "KHOA",
"authorized_official_middle_name": "TRONG",
"authorized_official_title_or_position": "D.D.S.",
"authorized_official_telephone_number": "409-466-7093"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "21351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Beaumont House Call Doctor PLLC
- Beaumont I Enterprises, LLC
- Beaumont Independent School District
- Beaumont Internal Medicine & Geriatric Assoc.
- Beaumont Kidney Specialists, PA
- Beaumont MRI Inc
- Beaumont Nephrology Associates
- Beaumont Neurosurgical Spine Associates PA
- Beaumont Nursing and Rehabilitation LP
- Beaumont Orthodontic Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.