Organization Active NPI

Roger Mendoza DDS Inc

  • Dentist
  • Houston, TX
National Provider Identifier
1053443887
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8558 Issued in TX
Legal business name
ROGER MENDOZA DDS INC
Practice address
938 Aldine Bender
Houston, TX 77032
Phone
(281) 449-1053
Fax
(281) 449-1821
NPI assigned
Mar 9, 2007
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Roger Mendoza, DDS DENTIST
Title
Owner Dentist
Phone
(281) 449-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8558 TX Primary

Addresses

Primary practice location

938 Aldine Bender
Houston, TX 77032

Mailing address

938 Aldine Bender
Houston, TX 77032
Phone (281) 449-1053

Other identifiers 2

IdentifierTypeStateIssuer
422976OtherCONCORDIA
81D526OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1053443887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 ALDINE BENDER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77032",
            "telephone_number": "281-449-1053",
            "fax_number": "281-449-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 ALDINE BENDER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77032",
            "telephone_number": "281-449-1053",
            "fax_number": "281-449-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER MENDOZA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "281-449-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "8558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "422976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81D526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.