Kristina Marie Mendoza, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33717 Issued in TX

Practice address

805 E. Lavaca Street
Beaumont, TX 77705

Phone

(409) 880-8860

NPI assigned

Apr 23, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina Marie Nicdao Mendoza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1104761246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 PINEWOOD COURT DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211982",
            "telephone_number": "409-880-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E. LAVACA STREET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77705",
            "telephone_number": "409-880-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA MARIE",
            "last_name": "MENDOZA",
            "middle_name": "NICDAO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy J Meline, PH.D.
• Christy Thrower Mellen, M.ED, LPC
• Yamilett Mendez, PA
• Anthony Mendoza
• Joseline Alejandra Mendoza, PHARMD
• Lance T. Mendoza, C.R.N.A.
• Apryl Scott Mensah, M.D.
• Jason Osei Mensah, D.O.
• Mental Health Defense and Fitness, PLLC
• Maria Mercado

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.