Jesus Eduardo Medina, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39562 Issued in TX

Practice address

2030 Heights Dr Ste 2
Harker Heights, TX 76548-2185

Phone

(254) 870-3221

NPI assigned

Mar 1, 2023

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1275232050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HOLLY AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HEIGHTS DR STE 2",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482185",
            "telephone_number": "254-870-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Holly Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274215",
            "country_code": "US",
            "telephone_number": "281-659-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JESUS",
        "middle_name": "EDUARDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15060",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay McKenna, M.D.
• Katelyn Michelle McMahan
• Nicole McNally
• Megan McNeely
• Debra Lynn McRae
• Maria Maura Medina, LPC, LMFT, LCDC
• Erian Medrano
• Eric Meehan, MD
• Brittany Mae Meeker-Gonzalez
• Magaly Mejia

• Dentist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.