Jose Raul Mena, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9252 Issued in CO

Practice address

877 S Boulder Rd
Louisville, CO 80027-1345

Phone

(303) 665-8228

Fax

(303) 665-8994

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Aid, Inc

  • General Practice Dentistry
  • Louisville, CO
  • NPI 1568473858
  NPD (past)
• Dental Aid, Inc

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1578169553
  NPD (past)
• Dental Aid, Inc

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1972109957
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1497929087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 S BOULDER RD",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271345",
            "telephone_number": "303-665-8228",
            "fax_number": "303-665-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 S BOULDER RD",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271345",
            "telephone_number": "303-665-8228",
            "fax_number": "303-665-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40673511",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Meints, IOMT
• Astrid Melchart, NC
• Melcher Orthodontics, LLC
• Matthew Melcher, DDS
• Thomas J Melcher, D.D.S., M.S.
• Jodi Menaker, MA
• John Andrew Mengshol, MD
• Helene R. Mentzel, MSW, LCSW
• Carl Elwood Meredith, MD
• Andrea Marie Mertz, M.D.

• General Practice Dentistry in Louisville, CO
• Providers in Louisville, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.