NPI age
5 years
Enumerated 2020-09-08
● Active
Type 1 · Individual
DR. Jaqueline Medina, DDS
Medina is 1 of 23 dentist providers in Port Arthur and 1 of 15661 in Texas.
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
5 years
↓ 9 yr below median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
2780 Fm 365, Suite C
Port Arthur, TX 77640
Mailing address
4700 Santa Fe Ave
Dallas, TX 752232131
Specialties
-
Dentist PrimaryA 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 context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 15661 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.