Red Oak Hometown Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RED OAK HOMETOWN DENTAL

Practice address

101 Austin Blvd Ste 100
Red Oak, TX 75154-4661

Phone

(972) 617-3508

NPI assigned

Mar 5, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorden Mark Mortensen, DMDNPI 1962069369

Title

Owner

Phone

(512) 520-6365

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorden Mark Mortensen, DMD

  • General Practice Dentistry
  • Kingwood, TX
  • NPI 1962069369
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1023816030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUSTIN BLVD STE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544661",
            "telephone_number": "972-617-3508",
            "fax_number": "972-576-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUSTIN BLVD STE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544661",
            "telephone_number": "972-617-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK HOMETOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-520-6365",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Rene Quintana, PHD
• Rallie Express 365
• Red Oak Dental
• Red Oak Drug Inc (Red Oak Drug)
• Red Oak Eyecare
• Red Oak Isd
• Red Oak Isd
• Red Oak Physical Medicine Clinic PLLC (Red Oak Chiropractic)
• Red Oak Smile Center PLLC
• Redoak SCC LLC (Red Oak Health and Rehabilitation Center)

• General Practice Dentistry in Red Oak, TX
• Providers in Red Oak, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.