DR. JOSEPH W PROVO III DDS
NPI 1487874400
Dentist in Beaumont, TX

Q: What is Joseph Provo's NPI number?

The NPI number for Joseph Provo is 1487874400. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Joseph Provo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Provo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007PECOS Enrolled

1460 IH 10 EAST, SUITE A, BEAUMONT, TX 77703(409) 833-0261(409) 833-0543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Joseph W Provo Iii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH W PROVO III DDS (NPI 1487874400) is an individual dentist in Beaumont, Texas, licensed in Texas (16452) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487874400

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JOSEPH W PROVO IIICredential: DDS

Location Address1460 IH 10 EAST, SUITE ABeaumont, TX 77703

Mailing Address1460 Ih 10 East, Suite ABeaumont, TX 77703 · (409) 833-0261 · Fax (409) 833-0543

Phone(409) 833-0261

Fax(409) 833-0543

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487874400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 16452

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1460 IH 10 EAST, Beaumont, TX 77703

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph W Provo Iii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$67.64 typical visit price

range $17.17 – $134.47

Typical copayment $16.91 (range $4.29 – $33.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Provo's NPI number?

The NPI number for Joseph Provo is 1487874400. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Joseph Provo located?

Joseph Provo practices at 1460 Ih 10 East Suite A, Beaumont, TX 77703. The listed phone number is (409) 833-0261.

What is Joseph Provo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Joseph Provo enrolled in Medicare?

Yes. Joseph Provo is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Provo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Joseph Provo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Provo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.