Active NPI
Isabel Mendez, DMD
- Dentist
- Owensboro, KY
National Provider Identifier
1396638813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11409
- Practice address
- 5035 Frederica St Ste 3
Owensboro, KY 42301-7515 - Phone
- (270) 971-7478
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 11409 | KY | Primary |
Addresses
Primary practice location
5035 Frederica St Ste 3
Owensboro, KY 42301-7515
Mailing address
1288 Sage Green CT
Henderson, NV 89012-4848
Phone (702) 769-1022
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 |
|---|---|---|---|
| 11409 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1396638813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 SAGE GREEN CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124848",
"telephone_number": "702-769-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 FREDERICA ST STE 3",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423017515",
"telephone_number": "270-971-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "ISABEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "11409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.