Certified Credentialing, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CERTIFIED CREDENTIALING, LLC

Practice address

6036 Ridgecrest Rd Apt 106
Dallas, TX 75231-6735

Phone

(214) 444-8357

NPI assigned

Jan 15, 2026

Organization subpart

No

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

Authorized official

Name

Juan Mendez

Title

Director of Credentialing

Phone

(971) 469-0000

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Adela Burnett, DPT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1356984694
  NPD (past)
• Kristin Alexis Henson, DPT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1447980818
  NPD (past)
• Alia Khederoo, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1922408939
  NPD (past)

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1235098385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 RIDGECREST RD APT 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316735",
            "telephone_number": "214-444-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 RIDGECREST RD APT 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316735",
            "telephone_number": "214-444-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CREDENTIALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "971-469-0000"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Cerna, CRNA
• Danielle Cerny, M.S., CF-SLP
• Christine Cerone, PHARMD
• Isabella Cerritos, MA
• Cara Rose Cerrone, D.C.
• Certified Healthcare Associates Inc
• Victor Manuel Cervantes Arreguin
• Breanna Cervantes
• Jaime Javier Cervantes Jr.
• Luisa Marie Cervantes

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.