Organization Active NPI

Jet DDS PA

  • General Practice Dentistry
  • Abilene, TX
National Provider Identifier
1396045647
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DDS PA
Practice address
902 N 18TH St
Abilene, TX 79601-3054
Phone
(325) 675-6003
Fax
(325) 675-6000
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Dr. Jane Estes Tindol, D.D.S
Title
Dentist/ Owner
Phone
(325) 675-6003

Specialties & licenses 1

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

Addresses

Primary practice location

902 N 18TH St
Abilene, TX 79601-3054

Mailing address

902 N 18TH St
Abilene, TX 79601-3054
Phone (325) 675-6003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1396045647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013054",
            "telephone_number": "325-675-6003",
            "fax_number": "325-675-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013054",
            "telephone_number": "325-675-6003",
            "fax_number": "325-675-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "TINDOL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ESTES",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "325-675-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "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 Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.