Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1265629570 Deactivated / Inactive NPI Male Practitioner

Michael J Jeansonne , DDSMS

Dentist - Endodontics • Beaumont, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Jeansonne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 01, 2007
NPI Deactivation Date March 19, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Jeansonne, DDSMS was a registered Dentist - Endodontics practicing in Beaumont, TX. Throughout an active medical career spanning 19 years, Michael Jeansonne provided care at the practice location at 3590 BLACKMON LN # 2 until profile deactivation on 2026-03-19.

Practice Location & Contact Primary Location

Practice Address

3590 Blackmon Ln # 2

Beaumont, TX 777067927

Telephone 4098926026
Fax 4098928426

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Beaumont, TX (476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License TX 15424

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 19, 2026

Record deactivated on March 19, 2026

NPI Profile Active October 01, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2007

Registered at 3590 BLACKMON LN # 2, BEAUMONT, TX 777067927 (Tel: 4098926026)

📍
Updated Business Mailing Address October 01, 2007

Registered at 3590 BLACKMON LN # 2, BEAUMONT, TX 777067927 (Tel: 4098926026)

👤
Provider Name / Credentials Updated October 01, 2007

Recorded as MICHAEL JEANSONNE, D.D.S.M.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2007

Dentist (License #15424 in TX)

🟢
Initial NPI Registration & Enumeration October 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Jeansonne. Be the first to share your experience!

Sign in to leave a review for Michael Jeansonne

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265629570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2007
Last Update: October 01, 2007
Deactivation Date: March 19, 2026

Mailing Address

3590 Blackmon Ln # 2

Beaumont, TX 777067927

Phone: 4098926026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.