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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LA COSTA OF BEAUMONT PA
NPI 1821446055
Dentist - General Practice in Beaumont, TX

Active since May 27, 2016
3870 COLLEGE STREET, SUITE #200, BEAUMONT, TX 77701(972) 514-1689 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Aug 13, 2025 (2 updates tracked since 2025).

About La Costa Of Beaumont Pa NPPES

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

LA COSTA OF BEAUMONT PA (NPI 1821446055) is a healthcare organization registered as a general practice in Beaumont, Texas and active in the NPI registry since May 2016. The organization lists Tien Dinh Phan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1821446055
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLA COSTA OF BEAUMONT PA
Location Address3870 COLLEGE STREET, SUITE #200Beaumont, TX 77701
Mailing Address3050 Regent Blvd Ste 110Irving, TX 75063-3107
Phone(972) 514-1689
Organization SubpartNo
Authorized OfficialTien Dinh PhanDentist · (956) 507-7253
Enumeration DateMay 27, 2016
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1821446055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 22334
Definition
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.
3870 COLLEGE STREET, Beaumont, TX 77701
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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 ›

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 La Costa Of Beaumont PA's NPI number?

The NPI number for La Costa Of Beaumont PA is 1821446055. It was assigned to this organization in the NPPES registry on May 27, 2016.

Where is La Costa Of Beaumont PA located?

La Costa Of Beaumont PA is located at 3870 College Street Suite #200, Beaumont, TX 77701. The listed phone number is (972) 514-1689.

What is La Costa Of Beaumont PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does La Costa Of Beaumont PA 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 2 other insurers list La Costa Of Beaumont PA 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 La Costa Of Beaumont PA was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.