Active NPI
Charles Michael McLendon, D.D.S.
- General Practice Dentistry
- North Richland Hills, TX
National Provider Identifier
1023449303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12468
- Practice address
- 5757 Ruf Snow Dr. Suite a
North Richland Hills, TX 76180 - Phone
- (817) 281-1764
- Fax
- (817) 281-0675
- NPI assigned
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12468 | TX | Primary |
Addresses
Primary practice location
5757 Ruf Snow Dr. Suite a
North Richland Hills, TX 76180
Mailing address
5757 Rufe Snow Dr. Suite a
North Richland Hills, TX 76180
Phone (817) 281-1764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12468 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Michael McLendon DDS PA | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- North Richland Hills, TX
- NPI 1164506903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1023449303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 RUFE SNOW DR. SUITE A",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "76180",
"telephone_number": "817-281-1764",
"fax_number": "817-281-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 RUF SNOW DR. SUITE A",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "76180",
"telephone_number": "817-281-1764",
"fax_number": "817-281-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENDON",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.