Active NPI
Joe V Mendez, DDS
- Dentist
- Kingsville, TX
National Provider Identifier
1528119112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16588
- Practice address
- 1311 General Cavazos Blvd Ste 303C
Kingsville, TX 78363 - Phone
- (361) 592-3237
- NPI assigned
- Jan 12, 2007
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16588 | TX | Primary |
Addresses
Primary practice location
1311 General Cavazos Blvd Ste 303C
Kingsville, TX 78363
Mailing address
204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145
Other practice location 1
700 Flournoy Rd Ste 2A
Alice, TX 78332-4088
Phone (361) 664-1417
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171353901 | Medicaid | TX | |
| 009033401 | Medicaid | TX | |
| 009033404 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225002706 | TX | Order and Referring Only - Dentist | 3779888987 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Corporation of South Texas | Past | Accepting new patients | |
| Community Action Corporation of South Texas | Past | Accepting new patients |
Interoperability endpoints
- joe.mendez@cacost.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba Community Action Health Center Bee
- Federally Qualified Health Center (FQHC)
- Beeville, TX
- NPI 1629415203
-
- Federally Qualified Health Center (FQHC)
- Sarita, TX
- NPI 1639973910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1528119112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 1ST ST",
"city": "ALICE",
"state": "TX",
"postal_code": "783324822",
"telephone_number": "361-664-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 GENERAL CAVAZOS BLVD STE 303C",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "78363",
"telephone_number": "361-592-3237"
}
],
"practiceLocations": [
{
"address_1": "700 Flournoy Rd Ste 2A",
"address_purpose": "LOCATION",
"city": "Alice",
"state": "TX",
"postal_code": "783324088",
"country_code": "US",
"telephone_number": "361-664-1417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "JOE",
"middle_name": "V",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171353901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009033401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009033404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.