Individual provider Active NPI

Courtney Eileen Beed, D.D.S.

  • Pediatric Dentistry
  • Katy, TX
National Provider Identifier
1902239072
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32835 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016003183 TX Order and Referring Only - DentistPractitioner - Dentist 1254607492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62755CAMDMarriage & Family Therapist
32835TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.