TX Southern Dental PPO PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TX SOUTHERN DENTAL PPO PC

Doing business as

Davis Dental Group

Practice address

1024 S Georgia St
Amarillo, TX 79102-1331

Phone

(806) 359-1492

NPI assigned

Sep 15, 2026

Organization subpart

Yes

Parent organization

TX SOUTHERN DENTAL PPO PCAs reported in NPPES

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

Authorized official

Name

Erika Melissa Menjivar

Title

Sr. Credentialing Specialist

Phone

(469) 596-6137

Specialties & licenses 1

Addresses

Other names 1

• Davis Dental Group Doing business as

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1851202071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791021331",
            "telephone_number": "806-359-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX SOUTHERN DENTAL PPO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TX SOUTHERN DENTAL PPO PC",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "469-596-6137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joni Michelle Tversky, RN, MSN, FNP-C
• David Tweed, ACNP
• Cheryl Tweet
• Sherry L Twijnstra, MOT
• Two Peas in a Pod Pediatric Therapy
• Tyler N. Cooper, M.D., P.a.
• David L Tyson, M.D.
• Ufirst Healthcare LLC
• Uhs Retail Pharmacy LLC (CentRx Pharmacy at Northwest Texas)
• Chiamaka Joy Ukoha, MD

• Dentist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.