Individual provider Active NPI

Karla Alejandra Mejia Duberow, DDS

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1275251860
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11911 Issued in TN
Practice address
5124 Stage Rd
Memphis, TN 38134-3170
Phone
(901) 373-5433
NPI assigned
Aug 18, 2022
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11911 TN Primary

Addresses

Primary practice location

5124 Stage Rd
Memphis, TN 38134-3170

Mailing address

5124 Stage Rd
Memphis, TN 38134-3170

Other practice location 1

5096 Stage Rd
Memphis, TN 38134-3149
Phone (901) 373-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730000406 TN Practitioner - Dentist 7416464870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Jun 1, 2025 Accepting new patients
Christ Community Health Services Inc CurrentSince Jun 1, 2025 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients

Locations

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1275251860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343170",
            "telephone_number": "901-373-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5096 Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381343149",
            "country_code": "US",
            "telephone_number": "901-373-5433",
            "fax_number": "901-800-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA DUBEROW",
        "first_name": "KARLA",
        "middle_name": "ALEJANDRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.