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Deactivated NPI 1912007477 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony Ray Derouen , DDS

Dentist - General Practice • Kingsville, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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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. Anthony Derouen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date January 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Derouen, DDS was a registered Dentist - General Practice practicing in Kingsville, TX. Throughout an active medical career spanning 14 years, Dr. Derouen provided care at the practice location at 100 EAST KLEMBERG until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

100 East Klemberg
Suite 203

Kingsville, TX 78364

Telephone 3615950282
Fax 3615950282

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kingsville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Kingsville, TX (10570 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 7929

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

7 Historical Events
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NPI Profile Deactivated January 28, 2020

Record deactivated on January 28, 2020

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 100 EAST KLEMBERG, SUITE 203, KINGSVILLE, TX 78364 (Tel: 3615950282)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 927, 100 EAST KLEBERG SUITE 203, KINGSVILLE, TX 783640927 (Tel: 3615950282)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY DEROUEN, DDS

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

Dentist (License #7929 in TX)

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Initial NPI Registration & Enumeration September 25, 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: 1912007477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2020

Mailing Address

Po Box 927, 100 East Kleberg Suite 203

Kingsville, TX 783640927

Phone: 3615950282

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.