Individual provider Active NPI

Jane Estes Tindol, DDS

  • Dentist
  • Abilene, TX
National Provider Identifier
1609996503
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14821 Issued in TX
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

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008789201MedicaidTX

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

LicenseStateTypeSpecialty
14821TXMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Family and Cosmetic Dentistry, PLLC PastSince Feb 7, 2021 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.

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.

Verify at the official NPI Registry.