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Deactivated NPI 1932692530 Deactivated / Inactive NPI Male Practitioner

Dr. Jordan Allen Taylor , DMD

Dentist - General Practice • Nacogdoches, 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. Jordan Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2018
NPI Deactivation Date August 30, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Taylor, DMD was a registered Dentist - General Practice practicing in Nacogdoches, TX. Throughout an active medical career spanning 7 years, Dr. Taylor provided care at the practice location at 4610 NORTH ST STE 101 until profile deactivation on 2025-08-30.

Practice Location & Contact Primary Location

Practice Address

4610 North St Ste 101

Nacogdoches, TX 759651841

Telephone 9365600900
Associated Practice Facility / Clinic
🏢 Braces R Us Pc Facility NPI 1649515529

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Nacogdoches, TX

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

Practicing in Nacogdoches, 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 34122

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Cara Zou , DDS

Dentist - General Practice

NPI 1093688012

Doctor of Dental Surgery

Mahima Gupta

Dentist - General Practice

NPI 1316389406
NPI 1518722420
Rana Naser

Dentist - General Practice

NPI 1639853336
Carlos Atrian

Dentist - General Practice

NPI 1700447703
Shahzada Durrani

Dentist - General Practice

NPI 1841974540

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

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Updated Practice Location June 15, 2021

Registered at 5227 S MAIN ST STE D, JOPLIN, MO 648044916 (Tel: 8015127421)

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Updated Business Mailing Address June 15, 2021

Registered at 2772 ANNELISE LN, JOPLIN, MO 648044529 (Tel: 8015127421)

NPI Profile Active June 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2018

Registered at 4610 NORTH ST STE 101, NACOGDOCHES, TX 759651841 (Tel: 9365600900)

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Updated Business Mailing Address June 08, 2018

Registered at 4527 E MOCKINGBIRD DR, GILBERT, AZ 852347429

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Provider Name / Credentials Updated June 08, 2018

Recorded as JORDAN TAYLOR, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Dentist (License #34122 in TX)

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Initial NPI Registration & Enumeration June 08, 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: 1932692530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2018
Last Update: June 08, 2018
Deactivation Date: August 30, 2025

Mailing Address

4527 E Mockingbird Dr

Gilbert, AZ 852347429

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.