Organization Active NPI

Beaumont Family Dental PA

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1881898641
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEAUMONT FAMILY DENTAL PA
Practice address
950 Longfellow Dr
Beaumont, TX 77706-4831
Phone
(409) 892-1101
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Dr. David Stovall, D.D.SNPI 1114120672
Title
President
Phone
(409) 892-1101

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

950 Longfellow Dr
Beaumont, TX 77706-4831

Mailing address

950 Longfellow Dr
Beaumont, TX 77706-4831
Phone (409) 892-1101

National Provider Directory

National Provider Directory

Locations

950 Longfellow Dr
Beaumont, TX 77706
Phone (409) 892-1101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1881898641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LONGFELLOW DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064831",
            "telephone_number": "409-892-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LONGFELLOW DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064831",
            "telephone_number": "409-892-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-892-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Feb 2, 2023; 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.