Benjamin Menlove, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38058 Issued in TX

Practice address

4202 Avenue Q
Lubbock, TX 79412-1708

Phone

(801) 448-2346

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Menlove Dental, PLLC

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1164178026
  NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1487710174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 AVE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123174",
            "telephone_number": "806-507-7777",
            "fax_number": "806-507-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121708",
            "telephone_number": "801-448-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENLOVE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "38058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Mendoza
• Reagan Naomi Mendoza
• Chris Alan Menegay, LPC
• McKell Rhylee Meneses
• Menlove Dental, PLLC
• Theresa Jean Menzel, NP
• Micaela Mercado
• Nestor Felipe Mercado
• Olga T Mercado, LCDCI
• Andrea Merchant

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.