Active NPI
Patricia Menning, D.D.S.
- Dentist
- Cypress, TX
National Provider Identifier
1174811913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27185
- Practice address
- 24150 Highway 290
Suite 100
Cypress, TX 77429-1024 - Phone
- (281) 758-1555
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 27185 | TX | Primary |
Addresses
Primary practice location
24150 Highway 290
Suite 100
Cypress, TX 77429-1024
Mailing address
24150 US-290
#100
Cypress, TX 77429
Phone (281) 758-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284449003 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27185 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1174811913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24150 US-290",
"address_2": "#100",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77429",
"telephone_number": "281-758-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24150 HIGHWAY 290",
"address_2": "SUITE 100",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291024",
"telephone_number": "281-758-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNING",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284449003",
"state": "TX"
}
],
"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 Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.