Emmanuela Mena, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11178 Issued in TN

Practice address

730 E 11TH St
Chattanooga, TN 37403-3103

Phone

(423) 209-5800

Fax

(423) 498-4587

NPI assigned

Jan 24, 2007

Last updated

May 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Emmanuela Mena Dentist , P.C.

  • General Practice Dentistry
  • New York, NY
  • NPI 1396958922
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1730234154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033103",
            "telephone_number": "423-209-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033103",
            "telephone_number": "423-209-5800",
            "fax_number": "423-498-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "EMMANUELA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042603-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Health Care System Inc. (Memorial Hospital Home Health)
• Memorial Health Care System, Inc. (Memorial Heart Institute, LLC)
• Memorial Health Partners Foundation, Inc
• Memorial Heart Institute, LLC (The Chattanooga Heart Institute)
• Memories Made at Home Homecare LLC
• Nadia Teresa Menaj, NP
• McKenna Menard, OT
• Teresa Ann Mendez, APRN
• Josue B Mendoza
• Mental Health Centers & Clinics of Tennessee

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.