NPIMap

Organization Active NPI

Gaurav Puri PA

Doing business as Family Smiles

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1932483526
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24365 Issued in NU
Legal business name
GAURAV PURI PA
Doing business as
Family Smiles
Practice address
4450 Highland Ave
Beaumont, TX 77705-5205
Phone
(617) 281-7941
NPI assigned
Oct 1, 2011
Last updated
Oct 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Authorized official

Name
Dr. Gaurav Puri
Title
Director
Phone
(617) 281-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24365 NU Primary

Addresses

Primary practice location

4450 Highland Ave
Beaumont, TX 77705-5205

Mailing address

8337 Summer Park Dr
Fort Worth, TX 76123-1991
Phone (617) 281-7941

Other names 1

  • Family Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Smiles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4450 Highland Ave
Beaumont, TX 77705
Phone (409) 832-1924

NPI Registry JSON

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317427200000",
    "number": "1932483526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 SUMMER PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231991",
            "telephone_number": "617-281-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 HIGHLAND AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777055205",
            "telephone_number": "617-281-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV PURI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-01",
        "last_updated": "2011-10-01",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-281-7941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 2011; 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.