GAURAV PURI PA (NPI# 1932483526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932483526 |
Entity Type | Organization |
Organization Name | GAURAV PURI PA |
Other Organization Name | FAMILY SMILES |
Practice Address |
4450 Highland Ave Beaumont TX 77705-5205 |
Mailing Address |
8337 Summer Park Dr Fort Worth TX 76123-1991 |
Practice Telephone | 6172817941 |
Mailing Telephone | 6172817941 |
Enumeration Date | 2011-10-01 |
Last Update Date | 2011-10-01 |
Authorized Official Name | DR. GAURAV PURI (DIRECTOR) |
Authorized Official Telephone | 6172817941 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
24365 | Dental Providers |
Other Name | Type Code |
---|---|
Family Smiles | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609167923 | Gaurav Puri Pa | Dentist | 419 Old Elkhart Rd, Ste 110, Palestine, TX 75801-5922 | 2011-04-20 |
1548590128 | Gaurav Puri Pa | Dentist | 8113 Camp Bowie W, Benbrook, TX 76116-6314 | 2010-01-05 |
Street Address |
4450 HIGHLAND AVE |
City | BEAUMONT |
State | TX |
Zip Code | 77705-5205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275536740 | Kimberlie J Gonzalez | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2005-05-27 |
1366812000 | Rachel Adams | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2015-10-06 |
1447671987 | Rose Brooks Lorenzen | Counselor | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2013-12-31 |
1235482878 | Legacy Community Health Services, Inc | Clinic/Center | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2012-10-19 |
1598037608 | Cynthia Renee Roland | Obstetrics & Gynecology | 4450 Highland Ave, Beaumont, TX 77705 | 2012-02-04 |
1508173170 | Charukesi Chandrasekaran | Psychiatry & Neurology | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2010-09-02 |
1689801730 | Harry Jae Doyle | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-06-16 |
1093957417 | Rhonda S Dixon | Registered Nurse | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-03-31 |
1225190416 | Lois E Muhammad | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705 | 2006-12-14 |
1447361175 | Kimberly Lynn King | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801431390 | Iris Fiaui | Specialist/Technologist | 4400 Mlk Jr Pkwy, Beaumont, TX 77705 | 2019-11-08 |
1437644937 | Kolten Elizabeth Adams | Specialist/Technologist | 4400 S Mlk Jr Parkway, Beaumont, TX 77705 | 2018-06-27 |
1326443391 | Scott Forbes | Psychologist | 6200 Knauth Rd, Beaumont, TX 77705 | 2014-11-03 |
1518367622 | Dennis Agricola | Nurse Practitioner | 6200 Knauth Road, Beaumont, TX 77705 | 2014-08-26 |
1639591480 | Chs Texas Medical, P.a. | General Practice | 11357 Highway 10 Sw, Smith Rd, Beaumont, TX 77705 | 2014-01-14 |
1649523309 | Tri-medical Emergency Medical Services Lp | Ambulance | 4610 St. Louis St, Beaumont, TX 77705 | 2012-10-18 |
1437462785 | Cynthia Ksiazek | Social Worker | 857 E Virginia, Beaumont, TX 77705 | 2010-07-15 |
1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
1891994612 | Jennifer Lien Truong | Occupational Therapist | 4205 Grandberry, Beaumont, TX 77705 | 2007-07-12 |
Find all providers in zip 77705 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407319213 | Legacy Dental of Beaumont Pllc | Dentist | 6480 Eastex Fwy Ste A, Beaumont, TX 77708-4336 | 2019-04-09 |
1821557604 | Tamarra Jean-chataigne | Dentist | 860 S 11th St Ste 101, Beaumont, TX 77701-3737 | 2019-03-19 |
1982199923 | Nikita Chandrakant Patel | Dentist | 5030 Oakmont Dr, Beaumont, TX 77706-7641 | 2018-06-22 |
1770008088 | Jonathan Howard Callahan | Dentist | 5892 Eastex Fwy Ste B, Beaumont, TX 77708-4824 | 2017-08-08 |
1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
1770860801 | Arthur Donald Shaw | Dentist | 3875 Laurel St, Beaumont, TX 77707-2219 | 2011-11-03 |
1356660260 | Ss Powers Dental, P.a. | Dentist | 4825 Concord Rd, Beaumont, TX 77703-1811 | 2010-05-18 |
1174774699 | Moore Dental Corporation | Dentist | 1620 2nd Street Marketplace, Suite A, Beaumont, CA 92223 | 2008-10-02 |
1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
1881864056 | David M Caldwell Dds PC | Dentist | 715 Orleans St, Beaumont, TX 77701 | 2008-03-04 |
Find all providers in BEAUMONT |
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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.