NPI age
14 years
Enumerated 2012-01-25
● Active Type 2 · Organization
Rayfus J Broussard, DDS Inc
Rayfus J Broussard, DDS Inc is 1 of 1850 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broussard
Orthodontist
Last NPPES update
2012-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 1850 active dentist providers in Texas.
NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1120 Longfellow Dr
Beaumont, TX 777064845
Mailing address
1120 Longfellow Dr
Beaumont, TX 777064845
Authorized official
Rayfus J Broussard, D.D.S.
Orthodontist
📞 4098987847
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Charles Dyer III, D.D.S., M.S.D. Dentist NPI 1194813634
- John Reimers, D.D.S. Dentist NPI 1457356834
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164122701 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.