Active NPI
Hsiu-Wan Meng
- Periodontics
- Cypress, TX
National Provider Identifier
1013252378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30584
- Practice address
- 17820 Mound Rd Ste G
Cypress, TX 77433-4903 - Phone
- (281) 246-0071
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2908 | OH | |
| Dentist | 122300000X | 30584 | TX | |
| Periodontics | 1223P0300X | 30584 | TX | Primary |
Addresses
Primary practice location
17820 Mound Rd Ste G
Cypress, TX 77433-4903
Mailing address
PO Box 1739
Cypress, TX 77410-1739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001127 | TX | Order and Referring Only - Dentist | 4385044544 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2908 | OH | MD | Cognitive & Behavioral Psychologist |
| 30584 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CM Covenant Dental PLLC | Periodontics | Current | Accepting new patients |
Locations
17820 Mound Rd
Ste G
Cypress, TX 77433
Phone (281) 246-0071
Networks
- NM HMO C-SNP
- TX HMO D-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Cypress, TX
- NPI 1831979483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1013252378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1739",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774101739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17820 MOUND RD STE G",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774334903",
"telephone_number": "281-246-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENG",
"first_name": "HSIU-WAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "2908",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30584",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "30584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.