Octavio Mejia Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19615 Issued in TX

Practice address

2103 E Griffin Pkwy Ste a
Mission, TX 78572-3490

Phone

(956) 583-9880

Fax

(956) 583-1383

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Octavio Mejia Jr DDS

  • Dentist
  • Mission, TX
  • NPI 1679643415
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1689831406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E GRIFFIN PKWY STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723490",
            "telephone_number": "956-583-9880",
            "fax_number": "956-583-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E GRIFFIN PKWY STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723490",
            "telephone_number": "956-583-9880",
            "fax_number": "956-583-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19615",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142541505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTAL DENTAL STATE GOVERMENT PROGRAMS",
            "identifier": "B19615",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javier Medina, MD
• Lydia Medina, M.A., LPC
• Daniel Mego Espinoza, FNP
• Iryna Mykytyuk Mego
• Pedro A Mego, MD
• Mejor Salud LLC
• Mejor Salud LLC
• Mejor Salud LLC
• Erik Melendez
• Denisse Mellado

• General Practice Dentistry in Mission, TX
• Providers in Mission, 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 May 24, 2021; 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.