Dr. Jordan Howard Minyard , DDS
Dentist - General Practice • Fort Worth, TX
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. Jordan Minyard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jordan Minyard, DDS was a registered Dentist - General Practice practicing in Fort Worth, TX. Throughout an active medical career spanning 13 years, Dr. Minyard provided care at the practice location at 427 S SUMMIT AVE until profile deactivation on 2019-03-11.
Practice Location & Contact Primary Location
427 S Summit Ave
Fort Worth, TX 761041023
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fort Worth, TX
Practicing in Fort Worth, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 11, 2019
NPI status registered as active in NPPES database
Registered at 427 S SUMMIT AVE, FORT WORTH, TX 761041023 (Tel: 8173380467)
Registered at 427 S SUMMIT AVE, FORT WORTH, TX 761041023 (Tel: 8173380467)
Recorded as JORDAN MINYARD, DDS
Dentist (License #13780 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
427 S Summit Ave
Fort Worth, TX 761041023
Phone: 8173380467
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