Active NPI
Jane Estes Tindol, DDS
- Dentist
- Abilene, TX
National Provider Identifier
1609996503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14821
- Practice address
- 902 N 18TH St
Abilene, TX 79601 - Phone
- (325) 675-6003
- Fax
- (325) 675-6000
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14821 | TX | Primary |
Addresses
Primary practice location
902 N 18TH St
Abilene, TX 79601
Mailing address
902 N 18TH St
Abilene, TX 79601
Phone (325) 675-6003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008789201 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14821 | TX | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilene Family and Cosmetic Dentistry, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Abilene, TX
- NPI 1346832912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1609996503",
"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": "79601",
"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": "79601",
"telephone_number": "325-675-6003",
"fax_number": "325-675-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDOL",
"first_name": "JANE",
"middle_name": "ESTES",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008789201",
"state": "TX"
}
],
"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.