Active NPI
Kevin Alexander Mendez, DDS
- Dentist
- Round Rock, TX
National Provider Identifier
1760167373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39578
- Practice address
- 110 N Interstate 35 Ste 380
Round Rock, TX 78681-5014 - Phone
- (512) 238-1035
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39578 | TX | Primary |
Addresses
Primary practice location
110 N Interstate 35 Ste 380
Round Rock, TX 78681-5014
Mailing address
13112 Pollard Dr
Austin, TX 78727-7023
Phone (512) 577-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39578 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1760167373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13112 POLLARD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787277023",
"telephone_number": "512-577-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N INTERSTATE 35 STE 380",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786815014",
"telephone_number": "512-238-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "KEVIN",
"middle_name": "ALEXANDER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.