Angelica Esther Mena, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25532 Issued in FL

Practice address

14501 Greater Pines Blvd
Clermont, FL 34711-6561

Phone

(202) 999-8360

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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

• Rouchon Dental

  • Dental Clinic/Center
  • Kensington, MD
  • NPI 1720694466
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1326416587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 GREATER PINES BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116561",
            "telephone_number": "202-999-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 GREATER PINES BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116561",
            "telephone_number": "202-999-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "ANGELICA",
        "middle_name": "ESTHER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15969",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mejia, LMHC
• Johanna Melendez
• Ramon Melendez, MD
• Melissa Stahl
• James C Mellone, M.D.
• Alexis Michelle Mendez, M.S.,CCC-SLP
• Daniel Mendez
• Vipin Kumar Mendiratta, MD
• Yasmine Meneses
• Mental Clarity Psychiatry PLLC

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.