Individual provider Active NPI

Erin Alayne McLendon, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1568522647
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20545 Issued in TX
Practice address
15909 San Pedro Ave Ste 200
San Antonio, TX 78232-3743
Phone
(210) 494-4011
Fax
(210) 494-4896
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20545 TX Primary

Addresses

Primary practice location

15909 San Pedro Ave Ste 200
San Antonio, TX 78232-3743

Mailing address

15909 San Pedro Ave Ste 200
San Antonio, TX 78232-3743
Phone (210) 494-4011

Other identifiers 4

IdentifierTypeStateIssuer
300000901OtherTXBLUE CROSS BLUE SHIELD
001355668OtherTXUNITED CONCORDIA INSURANC
20545OtherTXDELTA DENTAL INSURANCE
1635948-01MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428000523 TX Order and Referring Only - DentistPractitioner - Dentist 2860791712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin a. McLendon, D.D.S. Past Accepting new patients
My Hometown Dentist at Hollywood Park PLLC PastSince Mar 17, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1568522647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 SAN PEDRO AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323743",
            "telephone_number": "210-494-4011",
            "fax_number": "210-494-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 SAN PEDRO AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323743",
            "telephone_number": "210-494-4011",
            "fax_number": "210-494-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENDON",
        "first_name": "ERIN",
        "middle_name": "ALAYNE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300000901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "001355668",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL INSURANCE",
            "identifier": "20545",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1635948-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.