Jack Monroe Neagle Jr., DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22205 DENTAL Issued in TX

Practice address

1805 W White Oak Ter
Suite C
Conroe, TX 77304-3590

Phone

(936) 539-2980

Fax

(936) 539-2969

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2016 through Mar 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jack M. Neagle Jr., DDS, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Conroe, TX
  • NPI 1710126768
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1851595433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER",
            "address_2": "SUITE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043590",
            "telephone_number": "936-539-2980",
            "fax_number": "936-539-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER",
            "address_2": "SUITE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043590",
            "telephone_number": "936-539-2980",
            "fax_number": "936-539-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAGLE",
        "first_name": "JACK",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "22205 DENTAL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2765224960-COMMERCIAL NUMBER",
            "identifier": "2765224960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Naveed, DO
• Ishan Navendra
• Nancy Mbongeh Ndamukong
• Basil Njei Nduma, MD
• Mercygrace Nyambura Ndungu
• Jennifer Nicole Neal
• Briana Nealey
• Blessing D Nebeolisa, RN, WCN-C CSWD-C
• Alexis Neef, MA,BCBA
• Barry Norman Neeland, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Conroe, TX
• Providers in Conroe, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.