Active NPI
Erin Alayne McLendon, D.D.S.
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1568522647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20545
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300000901 | Other | TX | BLUE CROSS BLUE SHIELD |
| 001355668 | Other | TX | UNITED CONCORDIA INSURANC |
| 20545 | Other | TX | DELTA DENTAL INSURANCE |
| 1635948-01 | 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 |
|---|---|---|---|---|
| I20160428000523 | TX | Order and Referring Only - Dentist | 2860791712 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin a. McLendon, D.D.S. | Past | Accepting new patients | |
| My Hometown Dentist at Hollywood Park PLLC | Past | 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.
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1932604592
-
- Dentist
- San Antonio, TX
- NPI 1457119927
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.