Organization Active NPI

McCauley Hometown Dental PLLC

  • General Practice Dentistry
  • Mount Pleasant, TX
National Provider Identifier
1033074513
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCCAULEY HOMETOWN DENTAL PLLC
Practice address
1603 N Jefferson Ave
Mount Pleasant, TX 75455-2329
Phone
(903) 572-3981
Fax
(903) 577-0643
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Jorden Mark Mortensen, DMD
Title
Owner
Phone
(512) 520-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1603 N Jefferson Ave
Mount Pleasant, TX 75455-2329

Mailing address

1603 N Jefferson Ave
Mount Pleasant, TX 75455-2329
Phone (903) 572-3981

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1033074513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552329",
            "telephone_number": "903-572-3981",
            "fax_number": "903-577-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552329",
            "telephone_number": "903-572-3981",
            "fax_number": "903-577-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAULEY HOMETOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.