Anna Grace Mendes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4687 Issued in AR

Practice address

617 E Emma Ave
Springdale, AR 72764-4693

Phone

(479) 309-1821

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1225714686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PIPPIN CIR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345527",
            "telephone_number": "501-733-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E EMMA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644693",
            "telephone_number": "479-309-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna J Melton
• Carleigh Melton
• Caleb Scott Melugin
• Aurelia Elise Mena, FNP-C
• Laura Lee Mendenhall, LCSW
• Stephanie Danielle Mendoza, APRN
• Astryd Menendez, MD
• Robert Duane Mercer, LPN
• Mercy Health Northwest Arkansas Communities
• Mercy Northwest Arkansas Ambulatory Services LLC

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.