Karina Mendoza Harrison, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

24606 Issued in TX

Practice address

2121 Knickerbocker Rd
Suite C
San Angelo, TX 76904-5574

Phone

(325) 949-1004

Fax

(325) 947-2644

NPI assigned

May 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Karina T. Mendoza Other name

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

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1720213283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 KNICKERBOCKER RD",
            "address_2": "SUITE C",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045574",
            "telephone_number": "325-949-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KNICKERBOCKER RD",
            "address_2": "SUITE C",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045574",
            "telephone_number": "325-949-1004",
            "fax_number": "325-947-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KARINA",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARINA",
            "last_name": "MENDOZA",
            "middle_name": "T.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Toyha Drew Harper, FNP-C
• Amy Dianne Harris
• Paul C. Harris, M.D.
• Shelley Jene Harris
• Tanya S Harris, MD
• Jillian Hart
• Vernon Hart Jr.
• Dinah A Hartin, EIS-FQP
• Regina Kay Hartnett, PT
• David B Harvey, MD

• Dentist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.