La Costa of Beaumont PA
NPI 1821446055ActiveOrganization· Dentist, General Practice· Beaumont, TX
Dentist, General Practice in Beaumont, Texas, registered in NPPES in May 2016. The authorized official on file is Tien Dinh Phan, DMD, Dentist.
Overview
| NPI | 1821446055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2016 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 22334 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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