Organization Active NPI

Mont Belvieu Family Dentistry PLLC

Doing business as Mont Belvieu Dental and Orthodontics

  • General Practice Dentistry
  • Mont Belvieu, TX
National Provider Identifier
1841848066
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONT BELVIEU FAMILY DENTISTRY PLLC
Doing business as
Mont Belvieu Dental and Orthodontics
Practice address
9205 Eagle Dr.
Ste 100
Mont Belvieu, TX 77580
Phone
(832) 479-0062
Fax
(832) 479-0064
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9205 Eagle Dr.
Ste 100
Mont Belvieu, TX 77580

Mailing address

9205 Eagle Dr
Ste 100
Mont Belvieu, TX 77580
Phone (972) 869-3789

Other names 1

  • Mont Belvieu Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

9205 Eagle Dr
Ste 100
Mont Belvieu, TX 77523
Phone (281) 241-4249

Practitioners & affiliated clinicians

Practitioners 1

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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1841848066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR",
            "address_2": "STE 100",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "77580",
            "telephone_number": "972-869-3789",
            "fax_number": "972-590-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 EAGLE DR.",
            "address_2": "STE 100",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "77580",
            "telephone_number": "832-479-0062",
            "fax_number": "832-479-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONT BELVIEU FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mont Belvieu Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mont Belvieu, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.