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
- 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 | Marriage & Family Therapist |
| 32835 | TX | MD | Pediatric Dentist |
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 and National Provider Directory roles.
-
- Dentist
- Katy, TX
- NPI 1760919690
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.