Individual provider Active NPI

Hsiu-Wan Meng

  • Periodontics
  • Cypress, TX
National Provider Identifier
1013252378
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30584 Issued in TX
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

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610001127 TX Order and Referring Only - DentistPractitioner - Dentist 4385044544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2908OHMDCognitive & Behavioral Psychologist
30584TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
CM Covenant Dental PLLC Periodontics CurrentSince Oct 8, 2023 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.

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

Verify at the official NPI Registry.