Active NPI
Patrick Mendez, DDS
- General Practice Dentistry
- Buda, TX
National Provider Identifier
1457087504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38833
- Practice address
- 15550 Interstate 35 Ste 110
Buda, TX 78610-3887 - Phone
- (512) 265-8427
- NPI assigned
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38833 | TX | Primary |
Addresses
Primary practice location
15550 Interstate 35 Ste 110
Buda, TX 78610-3887
Mailing address
13112 Pollard Dr
Austin, TX 78727-7023
Phone (512) 704-4148
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Buda PLLC | Current | Accepting new patients |
Locations
15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427
Organizations & group practices 1
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.
-
- Dentist
- Buda, TX
- NPI 1265933758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1457087504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13112 POLLARD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787277023",
"telephone_number": "512-704-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15550 INTERSTATE 35 STE 110",
"city": "BUDA",
"state": "TX",
"postal_code": "786103887",
"telephone_number": "512-265-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.