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Deactivated NPI 1205385523 Deactivated / Inactive NPI Male Practitioner

Jose Escobar , RDA

Dental Assistant • Waller, 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, Jose Escobar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2016
NPI Deactivation Date January 22, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Jose Escobar, RDA was a registered Dental Assistant practicing in Waller, TX. Throughout an active medical career spanning 10 years, Jose Escobar provided care at the practice location at 31315 FM 2920 RD STE 16A until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

31315 Fm 2920 Rd Ste 16a

Waller, TX 774848022

Telephone 9363722673

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Waller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Waller, TX (130 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

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

State License TX 35773

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Calvin Nguyen , DDS

Dentist - General Practice

NPI 1093265076

Doctor of Dental Surgery

Dr. Alireza Mehmandoost , DDS

Dentist - General Practice

NPI 1174256846

Doctor of Dental Surgery

Dr. Wendy Taylor , DDS

Dentist - General Practice

NPI 1609305838

Doctor of Dental Surgery

Dr. Dhruvee Sangani , DDS, MPH

Dentist - General Practice

NPI 1811410616

Doctor of Dental Surgery, Master of Public Health

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

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Provider Name / Credentials Updated May 22, 2025

Recorded as JOSE ESCOBAR-FERIX, RN

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2016

Registered at 31315 FM 2920 RD STE 16A, WALLER, TX 774848022 (Tel: 9363722673)

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Updated Business Mailing Address September 28, 2016

Registered at 19472 TAHOKA SPRINGS DR, KATY, TX 774495299 (Tel: 8328576707)

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Provider Name / Credentials Updated September 28, 2016

Recorded as JOSE ESCOBAR, RDA

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Dental Assistant (License #35773 in TX)

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Initial NPI Registration & Enumeration September 28, 2016

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: 1205385523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2016
Last Update: September 28, 2016
Deactivation Date: January 22, 2026

Mailing Address

19472 Tahoka Springs Dr

Katy, TX 774495299

Phone: 8328576707

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.