Roda Jean Mena, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.033763 Issued in IL

Practice address

5225 Touhy Ave
Skokie, IL 60077-3245

Phone

(847) 807-7341

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mena Dental PLLC

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1689460834
  NPD
• Mithila Sharma DDS PLLC

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1851056154
  NPD
• Delgado DMD PLLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1659170637
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1699419481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W KINZIE ST APT 2512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545856",
            "telephone_number": "651-734-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 TOUHY AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773245",
            "telephone_number": "847-807-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7537 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606261621",
            "country_code": "US",
            "telephone_number": "773-442-1272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6821 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600532628",
            "country_code": "US",
            "telephone_number": "224-998-5386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 N. Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60618",
            "country_code": "US",
            "telephone_number": "773-598-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENA",
        "first_name": "RODA",
        "middle_name": "JEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Robledo MD SC
• Mark E Melton, LCSW
• Melvin P Katz, M.D.S.C
• Abbas Memon, PHARMACIST
• Mena Dental PLLC
• Gregg M. Menaker, MD
• Tatyana Menaker, ANP
• Gene Mendelson, DDS
• Linnet Mendez, LCPC
• Nicholas Steven Mendez, DC

• Dentist in Skokie, IL
• Providers in Skokie, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.