CM Covenant Dental PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CM COVENANT DENTAL PLLC

Practice address

17820 Mound Rd Ste G
Cypress, TX 77433-4903

Phone

(281) 246-0071

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Hsiu-Wan Meng, DDS MSNPI 1013252378

Title

Owner

Phone

(281) 246-0072

Specialties & licenses 1

Addresses

Other names 2

• Blackhorse Periodontics Doing business as
• Blackhorse Periodontics and Implant Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hsiu-Wan Meng

  • Periodontics
  • Cypress, TX
  • NPI 1013252378
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1831979483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 MOUND RD STE G",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 MOUND RD STE G",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334903",
            "telephone_number": "281-246-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM COVENANT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "HSIU-WAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-246-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackhorse Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blackhorse Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kevin Closner
• Mackenzie Clotworthy, NP
• Reagan Katherine Clough
• CN Vision Care, PLLC
• CNC Pharmacy Compounding
• Jerad Coburn, ATC, LAT
• Asif Cochinwala, M.D.
• Mark Douglas Cochran

• Periodontics in Cypress, TX
• Providers in Cypress, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.