BEAUMONT ORTHODONTIC SPECIALISTS (NPI# 1366728040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366728040 |
Entity Type | Organization |
Organization Name | BEAUMONT ORTHODONTIC SPECIALISTS |
Practice Address |
3954 Eastex Freeway Beaumont TX 77703 |
Practice Telephone | 4094344121 |
Practice Fax Number | 8883710515 |
Mailing Telephone | 4094344121 |
Mailing Fax Number | 8883710515 |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |
Authorized Official Name | DR. DAVID CALDWELL (PRESIDENT) |
Authorized Official Telephone | 4094344121 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12803 | TX | Dental Providers |
Street Address |
3954 EASTEX FREEWAY |
City | BEAUMONT |
State | TX |
Zip Code | 77703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548687684 | Christie N Beaugh | Counselor | 2574 North 11th Street, Beaumont, TX 77703 | 2014-03-26 |
1033395660 | Danari, Inc | Durable Medical Equipment & Medical Supplies | 2190 Eastex Freeway, Beaumont, TX 77703 | 2008-01-14 |
1801091848 | Catholic Charities of Southeast Texas | Counselor | 2780 Eastex Freeway, Beaumont, TX 77703 | 2007-06-19 |
1487874400 | Joseph W Provo IIi | Dentist | 1460 Ih 10 East, Suite A, Beaumont, TX 77703 | 2007-05-01 |
1023134608 | Assisted Living Concepts Inc | Assisted Living Facility | 2910 Toccoa Road, Beaumont, TX 77703 | 2007-03-22 |
1134233059 | Golden Traingle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 4415 Jerry, Beaumont, TX 77703 | 2006-08-18 |
1225142144 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 6270 Carnation Dr, Beaumont, TX 77703 | 2006-08-18 |
1760588123 | Patrick Joseph Concannon | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77703 | 2006-09-15 |
1487214987 | Edalynn Roper | Home Health Aide | 4885 Detroit St, Beaumont, TX 77703-1416 | 2019-06-17 |
1225106339 | Nutrition and Services for Seniors | Home Delivered Meals | 4590 Concord Rd, Beaumont, TX 77703-1806 | 2006-11-30 |
Find all providers in zip 77703 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760772255 | Norman E. Carter Dds Ms Inc | Dentist | 851 E 6th St B3, Beaumont, CA 92223-2373 | 2011-04-18 |
1447569595 | Gabriela Elizabeth Garcia | Dentist | 11188 Runyan Rd, Beaumont, CA 92223-6209 | 2010-10-06 |
1811139439 | David Dean Reynard | Dentist | 3333 North Street, Suite C, Beaumont, TX 77706-5032 | 2009-03-27 |
1710171772 | Norman Eric Carter | Dentist | 851 E 6th St Ste B3, Beaumont, CA 92223-2371 | 2007-09-04 |
1376760819 | Ronald Keith Risinger | Dentist | 3190 North St, Beaumont, TX 77702-1420 | 2007-04-19 |
1942345582 | Ronald K. Risinger, Dds, Ms, PC | Dentist | 3954 Eastex Fwy, Beaumont, TX 77703-1814 | 2007-02-21 |
1881752855 | Terry Syler | Dentist | 3350 Mcfaddin St, Beaumont, TX 77706-5033 | 2006-12-04 |
1487752887 | Rayfus Joseph Broussard | Dentist | 1120 Longfellow, Beaumont, TX 77706-4845 | 2006-09-20 |
1699014530 | Matthew Lindon Rushing | Dentist | 3954 Eastex Fwy, Beaumont, TX 77703-1814 | 2013-02-13 |
1669743498 | Rayfus J Broussard, Dds Inc | Dentist | 1120 Longfellow Dr, Beaumont, TX 77706-4845 | 2012-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.