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Deactivated NPI 1487158473 Deactivated / Inactive NPI Male Practitioner

Dr. Jared Benjamin Tinker , DMD

Dentist - Pediatric Dentistry • Gilbert, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jared Tinker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2018
NPI Deactivation Date March 25, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jared Tinker, DMD was a registered Dentist - Pediatric Dentistry practicing in Gilbert, AZ. Throughout an active medical career spanning 1 years, Dr. Tinker provided care at the practice location at 3592 S ATHERTON BLVD STE 107 until profile deactivation on 2018-03-25.

Practice Location & Contact Primary Location

Practice Address

3592 S Atherton Blvd Ste 107

Gilbert, AZ 852977444

Telephone 4014564038
Associated Practice Facility / Clinic
🏢 Gilbert Valley Dental Llc Facility NPI 1740821420

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Gilbert, AZ (245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-04
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License AZ D010531

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location July 04, 2020

Registered at 3592 S ATHERTON BLVD STE 107, GILBERT, AZ 852977444 (Tel: 4014564038)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2020

Dentist (License #D010531 in AZ)

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Updated Practice Location May 28, 2020

Registered at 21 PEACE ST, PROVIDENCE, RI 029071510 (Tel: 4014564038)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Dentist (License #DO10531 in AZ)

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NPI Profile Reactivated April 05, 2018

Record officially reactivated for active practice on April 05, 2018

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Updated Practice Location April 05, 2018

Registered at 21 PEACE STREET, PROVIDENCE, AR 02907 (Tel: 4014564038)

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Updated Business Mailing Address April 05, 2018

Registered at 3442 E TULSA ST, GILBERT, AZ 852953453 (Tel: 6028859864)

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Provider Name / Credentials Updated April 05, 2018

Recorded as JARED TINKER, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2018

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated March 25, 2018

Record deactivated on March 25, 2018

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Initial NPI Registration & Enumeration March 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487158473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2018
Last Update: July 04, 2020
Deactivation Date: March 25, 2018
Sole Proprietor: Yes

Mailing Address

3442 E Tulsa St

Gilbert, AZ 852953453

Phone: 6028859864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.