Active NPI
Bob X. Jing, DDS
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1104040740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19270
- Practice address
- 2246 Jacksboro Hwy
Ste 112
Fort Worth, TX 76114-2330 - Phone
- (214) 738-1528
- Fax
- (214) 987-9446
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19270 | TX | Primary |
Addresses
Primary practice location
2246 Jacksboro Hwy
Ste 112
Fort Worth, TX 76114-2330
Mailing address
2925 Westminster Ave
Dallas, TX 75205-1508
Phone (214) 738-1528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19270 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Dental Partner PLLC | General Practice | Current | Accepting new patients |
| Bob Jing DDS PA | General Practice | Current | Accepting new patients |
| Bob Jing D.D.S P.a. | Current | Accepting new patients |
Locations
2246 Jacksboro Hwy
Ste 112
Fort Worth, TX 76114
Phone (214) 738-1528
115 W Seminary Dr
Ste 101
Fort Worth, TX 76115
Phone (817) 405-0195
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1437304771
-
- Dental Clinic/Center
- Fort Worth, TX
- NPI 1154628402
-
- General Practice Dentistry
- Plano, TX
- NPI 1730722067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1104040740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 WESTMINSTER AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752051508",
"telephone_number": "214-738-1528",
"fax_number": "214-987-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 JACKSBORO HWY",
"address_2": "STE 112",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761142330",
"telephone_number": "214-738-1528",
"fax_number": "214-987-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JING",
"first_name": "BOB",
"middle_name": "X.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.