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Deactivated NPI 1295784007 Deactivated / Inactive NPI Male Practitioner

Dr. Jorge Antonio Ontiveros , MD

Specialist • Dallas, TX

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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. Jorge Ontiveros has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2006
NPI Deactivation Date May 21, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Ontiveros, MD was a registered Specialist practicing in Dallas, TX. Throughout an active medical career spanning 20 years, Dr. Ontiveros provided care at the practice location at 10705 PLANO RD until profile deactivation on 2026-05-21.

Historical Medicare Part B clinical services included established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

10705 Plano Rd
Suite #200

Dallas, TX 752385343

Telephone 2145538545
Fax 2145599010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.7 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
193 Specialists

Practicing in Dallas, TX (2033 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
92 47 $380.00 $126.41

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX K7852

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

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Updated Practice Location September 26, 2025

Registered at 13709 S SANTA FE AVE STE B, OKLAHOMA CITY, OK 731707327 (Tel: 4057944484)

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Updated Business Mailing Address September 26, 2025

Registered at 13709 S SANTA FE AVE STE B, OKLAHOMA CITY, OK 731707327 (Tel: 4057944474)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Internal Medicine (License #K7852 in TX)

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Updated Practice Location July 25, 2022

Registered at 820 E CARTWRIGHT RD STE 100, MESQUITE, TX 751496063 (Tel: 2143207600)

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Updated Business Mailing Address July 25, 2022

Registered at PO BOX 678040, DALLAS, TX 752678040 (Tel: 2143207770)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10705 PLANO RD, SUITE #200, DALLAS, TX 752385343 (Tel: 2145538545)

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Updated Business Mailing Address July 08, 2007

Registered at 10705 PLANO RD, SUITE #200, DALLAS, TX 752385343 (Tel: 2145538545)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JORGE ONTIVEROS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #K7852 in TX)

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Initial NPI Registration & Enumeration May 09, 2006

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: 1295784007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: July 08, 2007
Deactivation Date: May 21, 2026

Mailing Address

10705 Plano Rd, Suite #200

Dallas, TX 752385343

Phone: 2145538545

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.