Active NPI
Courtney Eileen Beed, D.D.S.
- Pediatric Dentistry
- Katy, TX
National Provider Identifier
1902239072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 32835
- Practice address
- 22720 Morton Ranch Rd Ste 100
Katy, TX 77449 - Phone
- (281) 712-4840
- NPI assigned
- Aug 13, 2013
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 62755 | CA | |
| Pediatric Dentistry | 1223P0221X | 32835 | TX | Primary |
Addresses
Primary practice location
22720 Morton Ranch Rd Ste 100
Katy, TX 77449
Mailing address
34 Burnished Oaks CT
Tomball, TX 77375-1456
Phone (917) 304-4187
Other practice location 1
1500 Grant Ave Ste 100A
Novato, CA 94945-3150
Phone (917) 304-4187
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 |
|---|---|---|---|---|
| I20171016003183 | TX | Order and Referring Only - Dentist | 1254607492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62755 | CA | MD | Pediatric Dentist |
| 32835 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Ranch Smiles Dentistry, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902239072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BURNISHED OAKS CT",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773751456",
"telephone_number": "917-304-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22720 MORTON RANCH RD STE 100",
"city": "KATY",
"state": "TX",
"postal_code": "77449",
"telephone_number": "281-712-4840"
}
],
"practiceLocations": [
{
"address_1": "1500 Grant Ave Ste 100A",
"address_purpose": "LOCATION",
"city": "Novato",
"state": "CA",
"postal_code": "949453150",
"country_code": "US",
"telephone_number": "917-304-4187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEED",
"first_name": "COURTNEY",
"middle_name": "EILEEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "62755",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "32835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.