Rayfus J Broussard, DDS Inc
Rayfus J Broussard, DDS Inc is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in Beaumont, TX, holding Type 2 (organization) NPI 1669743498 since 2012. The authorized official on file is Rayfus Broussard, Orthodontist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669743498 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Rayfus J Broussard, DDS Inc |
| Practice address | 1120 LONGFELLOW DR, Beaumont, TX, 77706 |
| Phone | 4098987847 |
| Enumeration date | 2012-01-25 |
| Last updated in NPPES | 2012-01-25 |
Authorized official
| Name | Rayfus Broussard |
|---|---|
| Title | Orthodontist |
| Phone | 4098987847 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 11407 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164122701 | Medicaid | TX | — |
Copy-ready billing details
Provider: Rayfus J Broussard, DDS Inc NPI: 1669743498 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 1120 LONGFELLOW DR, Beaumont, TX, 77706
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457356834 | John Reimers | Individual | General Practice Dentistry | Beaumont, TX |
| 1194813634 | Charles Dyer III | Individual | Pediatric Dentistry | Beaumont, TX |
| 1083988265 | Charles E, Dyer III DDS | Organization | Dentist | Beaumont, TX |
Verify this record
Cross-check NPI 1669743498 against the authoritative CMS record: view Rayfus J Broussard, DDS Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-25.