Active NPI
Family Dentaland, P.a.
- General Practice Dentistry
- Mission, TX
National Provider Identifier
1790044501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25382
- Legal business name
- FAMILY DENTALAND, P.A.
- Practice address
- 3401 W. Mile 5 Road
Suite 3
Mission, TX 78574 - Phone
- (956) 583-2077
- Fax
- (956) 583-2272
- NPI assigned
- May 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel E Mego, D.D.S., M.S.
- Title
- President
- Phone
- (956) 928-0022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | 25382 | TX | Primary |
Addresses
Primary practice location
3401 W. Mile 5 Road
Suite 3
Mission, TX 78574
Mailing address
3401 W. Mile 5 Road
Suite 3
Mission, TX 78574
Phone (956) 583-2077
Other names 1
- Kids Dentaland
National Provider Directory
National Provider DirectoryLocations
3401 W Mile 5 Rd
Ste 3
Mission, TX 78574
Phone (956) 583-2077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mission, TX
- NPI 1548980519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336953600000",
"number": "1790044501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W. MILE 5 ROAD",
"address_2": "SUITE 3",
"city": "MISSION",
"state": "TX",
"postal_code": "78574",
"telephone_number": "956-583-2077",
"fax_number": "956-583-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W. MILE 5 ROAD",
"address_2": "SUITE 3",
"city": "MISSION",
"state": "TX",
"postal_code": "78574",
"telephone_number": "956-583-2077",
"fax_number": "956-583-2272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DENTALAND, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-14",
"last_updated": "2012-05-14",
"status": "A",
"authorized_official_last_name": "MEGO",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-928-0022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids Dentaland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
- Faith Family Day Clinic, LLC
- Faith Healthcare Services,Inc
- Famber Group, LLC
- Familia Primary Home Care, Inc.
- Family Care Nursing Services LLC
- Family Health Center of Mission
- Family Health Center of Mission, PLLC
- Family Medicine Associates P a
- Family Provider Services, LLC.
- Family Specialists Medical Center PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.